DPCA Chapter Club Renewal

DPCA Chapter Club Renewal

This form MUST be filled out completely
Chapter Club Name*
Email of club member to receive renewal verification*
example@example.com
Employer/Tax ID number*
Every club is REQUIRED to file with the IRS each year.
Date of last filed 990,990EZ or 990N*

MonthDayYear
Date
Do you have an electronic copy/screen shot of your IRS filing information to upload?*

Yes (you will be required to upload)No
Upload copy of 990, 990EZ, or 990N form*

copy of the online filing receipt or a screenshot is acceptable
Cancelof
Club Mailing Address or Address of Secretary *

Street Address

Street Address Line 2

CityState

Zip Code

Has there been any change in your club’s purpose, character, or method of operation?*

YesNo
Please explain the change in your club’s purpose, character, or method of operation.

All Chapter Club officers and delegates MUST be a DPCA member or have applied for DPCA membership within 30 days of election.

Officer Information*

Amount Due*

In as much as our parent organization, Doberman Pinscher Club of America, has included us in a 501(c)(3) group exemption recognition before the IRS,we acknowledge our responsibility to make annual information reports pertaining to our continued good standing. We further agree to adhere to their specific policies related to the 501(c)(3) status which in their judgment keep this status well maintained. While we reserve the right to challenge any such policy that may be established, we will inform them of such action in writing 30 days prior to any implementation on our part.Dues are payable upon receipt of notice. Membership will be automatically terminated if dues are not received by January 31, 2025. Dues must be received by December 31, 2024 for member club to be eligible to participate in any parent club business conducted in January 2025.

Pay for Chapter Club Renewal

USDDescription

Payment Method
Credit	Express