Form Exo-App - Sales & Use Exemption For An Exempt Organization - State Of Rhode Island And Providence Plantations Page 2
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1
2State of Rhode Island and Providence Plantations
Form EXO-APP
13170199990102
Sales & Use Exemption for an Exempt Organization
2. If the organization is a branch or chapter, has the parent organization received an exemption from federal income tax?
Yes
No If yes, attach a current letter from the parent organization certifying that the sub unit is a member.
3. Check the appropriate box to indicate the type of organization:
Corporation. Attach a copy of the articles of incorporation and bylaws.
Other. Attach a copy of the articles of constitution and bylaws.
CHURCH QUESTIONNAIRE
1. Is this church exempt under 501(C)(3) of the Internal Revenue Code? ___________
2. How long has this church been in existence?_________________
3. Is this church affiliated with other churches/organizations?________ If yes, how?______________________________
4. Who is the “head” of this church, and what training/qualifications does he/she possess? _________________________
____________________________________________________________________________________________
5. Does the head of this church hold another job, either full-time or part-time? __________________________________
6. Is the head of this church a licensed clergy? ____________________________
7. Does he/she perform civil duties such as marriages?____________________
8. How is the head of this church paid (stipend, expenses, etc.)? ____________________________________
9. Where are church services held?____________________________________
If the meeting place is not owned by this church, who owns it? __________________________________________
Is it rented or leased?___________________
Cost of rental or lease $____________________
10. How many church members are there?____________________________________
11. Are church members free to practice other religions?__________________
12. What are the church expenses and how are they maintained (eg. donations, solicitations, etc)? __________________
_____________________________________________________________________________________________
13. Where are church records maintained?___________________________________
14. What activities does the church engage in other than holding services (visit sick parishioners, etc.)? _____________
_____________________________________________________________________________________________
15. If the certificate of exemption is granted, what type of purchases will it be used for?____________________________
______________________________________________________________________________________________
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