Starting a Nonprofit Using IRS 1023 Please enable JavaScript in your browser to complete this form.Hello, Thank you for engaging our services. This questionnaire collects information about your nonprofit board, activities, and finances. We will use your responses to prepare and complete your IRS Application for Recognition of Exemption under Section 501(c)(3) of the Internal Revenue Code (Form 1023 Standard). Do not enter Social Security numbers, birthdates, or financial account numbers on this form. Thank you. Section 1: About Your Organization1. Contact Person: *FirstLast2. Organization Email: *3. Organization Name: *4. Which address would you prefer to use? Principal addressMailing address4a. Principal Address:Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code4b. Mailing address:Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code5. Website / URL:Section 2: About Your ActivitiesDescribe your past, present, and planned activities: What is the activity? Who conducts the activity? Where is the activity conducted? What percentage of your total time is allocated to the activity? e How is the activity funded (for example, donations, fees, etc.) and what percentage of your overall expenses is allocated to this activity? How does the activity further your exempt purposes?6. Which activities apply to your organization? Select all that apply:a. Past Activities. (Prior to incorporating)b. Current Activities. (Engaged in now)c. Planned Activities. (What we will engage in soon)6a. Describe your past activities:Include activities you have conducted under this nonprofit’s name “prior” to formally incorporating. If you have no past activities, write “N/A.”6b. Describe your current activities:Include activities you have conducted under this nonprofit’s name “after” incorporating until present day. If you have no current activities, write “N/A.”6c. Describe your planned activities:Include activities you “plan” to engage in once you become tax-exempt. Or, include activities that you are not engaged in now, but will soon engage in. If you have no planned activities, write “N/A.”7. Do you or will you publish, own, or have rights to any of the following? Select all that applies:a. musicd. literatureg. tapesb. artworkse. choreographyh. none of the abovec.. scientific discoveriesf. other intellectual property7i. Please explain:8. Will your organization conduct activities outside of the United States? YesNoI am not sure8a. Which countries?9 Please use the space below to share additional information or to ask a pressing question:Thank you for completing this questionnaire. Your responses will guide our understanding of your organization 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. 10. By printing my name below, I certify that the information provided is true based on my understanding. *CommentSubmit
