Form Cht-1 - Application For Registration As A Charitable Trust
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STAPLE
Charities Program
801 Capitol Way South
PO Box 40234
Olympia, WA 98504-0234
Phone: 360-725-0378
Fax: 360-664-4250
E-mail:
trustinfo@sos.wa.gov
Web Address:
APPLICATION FOR REGISTRATION AS A CHARITABLE TRUST
FEE: $25.00
Make fees payable to “State of Washington”
PURSUANT TO RCW 11.110 AND WAC 434-120-310
Check here to request EXPEDITED SERVICE (optional). If checked, please enclose an additional $50 fee.
Please complete entire application or write “n/a” if not applicable. Incomplete applications will not be accepted.
All documents must be typewritten or printed legibly in ink. DO NOT staple or bind application or attachments.
SECTION 1 – ORGANIZATION INFORMATION
Organization’s Full Legal Name:
Telephone: (
)
Fax: (
)
Mailing Address:
City, State, ZIP:
Physical Address:
City, State, ZIP:
County:
Email Address:
Internet (www):
FEIN Number
:
UBI Number
(Federal Employer Identification Number)
(Unified Business Identifier):
FEDERAL TAX EXEMPT STATUS
Has the organization applied for Federal tax-exempt status? (check one)
Yes
No
Has the organization been granted IRS Federal tax-exempt status? (check one)
Yes, exemption granted under 501(c) (______). A copy of the organization’s IRS Determination Letter is enclosed (REQUIRED).
No (Please supply a copy of the organization’s IRS Determination Letter when tax exemption has been granted.)
SECTION 2 – ESTABLISHMENT OF TRUST
Articles of Incorporation and Bylaws
Last Will and Testament
Type of document establishing trust (check one):
Trust Agreement
Probate Order
ATTACHMENT (REQUIRED)
Attach a copy of the organization’s trust instrument (e.g. Articles of Incorporation, Trust Agreement, Probate Order, Last Will and
Testament).
CHT-1/Rev 08/10
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Parent category: Legal