LGN 501c3 Application

Application for 501(c)(3) Exemption Via Group Affiliation

This application packet is for churches/ministries that are seeking to affiliate themselves with Logos Global Network and come under their 501(c)(3) group exemption. Please be certain that the application contains all of the required information and documentation for processing. Incomplete applications cannot be processed.
Organizational Contact
Your Name*

First NameLast NameSuffix
Title
Work Phone*

Area CodePhone Number
Cell Phone*

Area CodePhone Number
E-mail Address*
Information About Your Organization
Organization Name*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*

Area CodePhone Number
Web Site
Please provide a brief organization history

Browse Files

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Organizational Structure*
Date Established

MonthDayYear
Date
State of Incorporation
Please upload a copy of your state incorporation document

Upload State Incorporation Document

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Need LGN Assistance to obtain Federal E.I.N.

YesNo
Enter Federal E.I.N.
Upload IRS letter with EIN number (if applicable)

Browse Files

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Does your organization have written By-Laws?*
Please upload a copy of your By-Laws

Upload By-Laws

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Does your organization have a Statement of Faith?*
Please upload a copy of your Statement of Faith

Upload Statement of Faith

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Information About Your Officers
Please provide a personal reference form for each principal or officer. Download the reference form from the Logos Global Network website. For each reference, you should print, complete the top section, and deliver a form for them to complete.
President*

First NameMiddle NameLast NameSuffix
Please upload a resume or CV for the President*

Upload Resume

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Other Officer or Principal (1)

First NameMiddle NameLast NameSuffix
Other Officer or Principal (2)

First NameMiddle NameLast NameSuffix
Other Officer or Principal (3)

First NameMiddle NameLast NameSuffix
Other Officer or Principal (4)

First NameMiddle NameLast NameSuffix

Additional Information
Why have you chosen LGN for ministerial affiliation?

Agreement with LGN visionLegal benefits of tax exemption statusConvenienceReferral from current memberOther
Have any of the principals or officers ever been convicted of a felony?*
Please upload a letter of explanation regarding your felony conviction

Upload Felony Explanation

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Are any of the principals or officers a party to any current legal action?*
Please upload a letter of explanation regarding the legal action

Upload Legal Action Explanation

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Are any of the principals or officers currently subject to any legal judgments?*
Please upload a letter of explanation regarding the judgment/s against you

Upload Judgment Explanation

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Application Fees
To expedite the processing of your application, you may pay your application fee by credit card. Your credit card will be charged an application fee of $300.00, plus additional services fees for the items you select. (Please note that these fees are non-refundable.)

If you wish to pay your application fee by check or money order, they must be drawn on a U.S. bank or financial entity.

DO NOT SEND CASH
I will pay my fees by
Mail fees to LOGOS GLOBAL NETWORK, PO Box 351087, Jacksonville FL 32235

To Pay a Fee By Credit Card, Select the Appropriate Check Box

Organization Application Fee$300.00

State Incorporation Doc Prep Fee$50.00

Corporate By-Laws Prep Fee$50.00

Federal EIN Fee$50.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Logos Global Network Resolution on Church Sovereignty:
“Be it resolved that affiliation with LGN in no wise violates or jeopardizes the sovereignty or independent status of the local church or ministry. This is a voluntary act of affiliation and Logos Global Network has no legal recourse to the property, resources or vision of the local church or ministry.”
By signing my name below, I hereby certify that the information on my application is complete and correct, and that I am authorized to sign on behalf of this organization. I have read and complied with all pertinent instructions.

In making this application, we hereby authorize Logos Global Network of Christian Ministries to review and confirm by such means as they shall deem appropriate any and all information that we have provided herein. We hereby specifically request and authorize the release of any information which shall be necessary for such review in the processing of our application for membership.

Furthermore, by submitting this application to Logos Global Network, we confirm that:
- The officers of our organization are committed to the absolute Lordship of Christ through an ongoing relationship with Him, and
- We affirm our committment to cooperate with and support the vision of Logos Global Network,
- We affirm our commitment to work in cooperation with its appointed leaders, and
- We affirm our agreement with the LGN Statement of Sovereignty.
If we have indicated that we wish to pay by credit card, we authorize Logos Global Network to charge the card we have provided for the indicated fee/s. We understand that these charges are non-refundable. If we have indicated another payment method, we understand that our application will not be processed until payment has been received by Logos Global Network.
Signature of Person Representing Organization*

Clear
Should be Empty:

Application for 501(c)(3) Exemption Via Group Affiliation

Organizational Contact

Information About Your Organization

Information About Your Officers

Additional Information

Application Fees