"Every Idea That Comes Through our Doors is a Diamond in the Rough"                                  "Every Idea That Comes Through our Doors is a Diamond in the Rough"

 

Polish Inc.

Ezekiel & Ruth D. Lowe Senior's Foundation

Post Office Box 680821

Charlotte, NC 28216-0030

 

       

Non Profit - QUESTIONNAIRE FOR TAX EXEMPT FILING


Workshop Intake Form

Please provide the following information:

Date                Deposit $ 

Full Organization

Name

Organization

Address

City  
County
Name of Contact  
Address of Contact

Organization

Telephone

  of Contact 

Organization

Email

  of Contact 
Zip Code
Tax ID#    If yes, need copy of EIN Letter
Year ends in what month? Is organization Inc.?    Date                                                        If yes, Need copy

Is the Organization

part of a larger

organization?

Is the organization a church?        a daycare?            a school? 
Does the organization have bylaws?   If yes, Need copy
Can the organization provide the following?  

 (Check all that apply)

List of active Board of Directors
Copy of written bylaws
Budgets (last three years if available)
Copy of deed or lease agreement
Brochure, flyer, programs of the organization
List/ brochure of programs
Source of all funds
List of fund raising activities
Other (explain)

 

Provide Additional Information or Question  


Copyright © 2012 [Polish Inc]. All rights reserved.
Revised: 11/05/12

 

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Copyright © 2004 [Polish Inc.].  All rights reserved.           Last modified: 12/08/07.