Nonprofit Formation Questionnaire
Please provide the details of the organization you wish to form.
Organizer Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth Date
*
.
Month
.
Day
Year
Date
Social Security # of Organizer
*
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Desired name of your organization?
*
Describe the services your organization wish to offer:
*
Do you have a mission?
*
Yes
No
Do you have bylaws?
*
Yes
No
Have you selected Board Members (minimum 3 needed)?
*
Yes
No
Board Member Name 1
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Board Member Name 2
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Board Member Name 3
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature
*
Submit
Should be Empty: