Non-Profit Organizer Non-Profits Please enable JavaScript in your browser to complete this form.Taxpayer Name *FirstLastOrganization Name *Organization EIN # *Date IncorporatedDateTimeNon-profit Organization AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOrganization's primary purposeWhat is the organization type?501(C)OtherIs the organization's application for tax exempt status pending with the IRS?YesNoIs this a new address? *YesNoIs this an initial return? *YesNoIs this a final return? *YesNoIs this a group of affiliates? *YesNoDoes the organization file under a calendar year? *YesNoDid the organization make changes to its activities or methods of conducting activities? *YesNoWere there any changes made in the organizing or governing documents? *YesNoDid the organization have Unrelated Business Income of $1000 or more this year? *YesNoIs the organization related (other than by association with a statewide or nationwide organization) to any other exempt or non-exempt organization? *YesNoDid the organization make any direct or indirect political expenditures? *YesNoDid the organization lobby/attempt to influence any legislation? *YesNoDid the organization comply with IRS public inspection or returns/application? *YesNoDid the organization solicit any contributions that were not tax deductible? *YesNoDid the organization make grants for scholarships or student loans? *YesNoDid the organization conduct activities in any state other than Oregon or country outside the U.S.? *YesNoDoes the organization have any foreign bank accounts? *YesNoCurrent Officers, Directors, Trustees, and Key EmployeesLayoutName *Address TitleAverage Hours/Week How many officers, directors, trustees, and key employees are permitted to vote at board meetings?List all employees paid more than $50,000/year Layout (copy)Name *Address TitleAverage Hours/Week List all independent contractors paid more than $50,000/year Layout (copy) (copy)Name *AddressType of Service Compensation Have your books been prepared? *YesNoSubmit