Non-Profit Questionnaire Sheet
Part I: General Details
Organization's Full Name
*
Employer Identification Number (EIN)
*
Yes
No
If yes, please record below
*
Date Incorporated
*
-
Month
-
Day
Year
Date
Organization Website
Organization Email
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
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Part II
Describe the nature of the nonprofit
Purpose of the Organization
*
Mission Statement
*
Vision Statement
*
Objectives
*
Organization Past Activities
*
Present Activities
*
Future Activities
*
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Part III
Board of Director's Information
Board Member Information
*
Mailing Address
Board Title
Will this Member be Paid?
Board Member
Board Member
Board Member
Board Member
Board Member
Will any of the board members be paid? If yes, please note who and how much
*
Are any of the board members related? If yes, who and what are the relations?
*
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Part IV
Business Details & Operation
List all fundraising activities you will be engaged in below:
*
Will an individual outside the organization conduct fundraising activities/solicitation? If yes, please list below:
*
Have you raised any funds since the organization began operating? If yes, please provide additional information below
*
Did the organization accrue any revenue in the prior tax year? If yes, please provide more details below.
*
Type a question
*
Total Revenue
Total Expense
Year #1
Year #2
Year #3
Year #4
Year #5
By signing this document, I attest that all the information provided is true to the best of my knowledge.
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Should be Empty: