QBPage_990-N Filing ONLY

990-N Filing
EIN Number:
e.g., 23
Legal Name of Organization
State Registered:
(Where nonprofit corporation was formed)
DBA Name (if applicable):
Please provide the answers to the questions below.
To verify eligibility for the Form 990-N, could you please confirm that your organization’s total gross receipts for that year were $50,000 or less?
Current Mailing Address of Organization

Street Address

Street Address Line 2

CityState

Zip Code
Contact Person:

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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990-N
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