Small Business Formation Questionnaire – Dewlyn Nonprofit Services

Hello!

Thank you for your interest in our services! We’d love to help you form your small business, but first we’d like to learn more. After completing this form, you’ll be directed to a link to schedule your discovery call.

Heads up! The first 5 questions are required in order to submit this form.

Thank you!

ABOUT YOUR ORGANIZATION

1. Contact Person: *

First

Last

2. Business Name: *

3. Principal Office Address: *

Address Line 1

Address Line 2

City

State

Zip Code

4. Business Phone: *

5. Business Email: *

The Following Questions are optional (6-30)

6. Website / URL:

7. Employer Identification Number

Write “N/A” if you do not have an EIN.

8. How is (or will) your business be structured?

REGISTERED AGENT

11. Registered Agent Name.

First

Last

12. Registered Agent's Address (must be a physical address location; no P.O. Box). *

Address Line 1

Address Line 2

City

State

Zip Code

13. Which County is your Registered Agent located in?

14. Registered Agent Phone Number:

15. Registered Agent's Email Address:

BUSINESS PURPOSE

16. Describe your primary product(s) or service(s):

17. Please list other members/shareholders in this business (Name and business title):

Write “N/A” if there will be no other members or shareholders.

Additional Information

18. Please use the space below to share additional information or to ask a pressing question about the application process.

Thank you for completing this questionnaire. Your responses will guide our understanding of your business and areas where we can offer you support. Once you click “submit” you will be guided to a page to schedule your phone meeting with Cheryl Smith.

I certify that the information provided is true based on my understanding.