Non-Profit Form

Thank you for meeting with me to discuss your new non-profit organization. In order for us to best serve you, we would appreciate you taking a few minutes to complete the following information to the best of your ability. If some questions do not apply, or you have not had a chance to consider yet, please feel free to leave those sections blank.

All information provided will be held in strict confidence.

Your Name

First Name

Last Name

Your Address

Your Cell Phone Number

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Your Email Address

Your Preferred Method of Communication From Our Office

What is the official name of the Non-Profit?

Additional Names

Please list any other names your organization would consider in the case that your original choice has already been claimed.

Non-Profit Address and Phone Number

What address and Phone Number will the non-profit be using?

Board Member Information

Must have at least three unrelated board members.

President's Full Legal Name

Phone Number

Address

Vice President's Full Legal Name

Phone Number

Address

Secretary's Full Legal Name

Phone Number

Address

Board Members Cont.

Please provide information for any other members of your non-profit.

Full Legal Name

Contact Information

Full Legal Name

Contact Information

Full Legal Name

Contact Information

The purpose for the organization:

Please provide the reasoning behind why you are creating this non-profit and what purpose it will serve.

How will donations be obtained?

That could be through sales, special events, etc.

How did you hear about us?