Form C1 - Charitable Organization Initial Registration Form Page 2
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CHARITABLE ORGANIZATION INITIAL REGISTRATION FORM
(Continued)
7. What is the organization’s tax-exempt status?
501(c)_______
Status Pending
Not Tax-Exempt
If the organization’s tax-exempt status is pending, identify the date the organization submitted Form 1023
to the Internal Revenue Service: __________________________________
8. Does the organization use a fiscal agent?
Yes
No
If yes, identify fiscal agent’s name, address, and Federal EIN:____________________________________
______________________________________________________________________________________
9. Address of principal office in Minnesota, or, if none, the name and address of the person who has custody
of books and records:
______________________________________________________________________________________
Contact Person
Phone Number
Email Address
______________________________________________________________________________________________________
Street Address
City, State, and Zip Code
10. Explain in detail the organization’s charitable purpose(s) (attach explanation if more space is needed):
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
11. What methods of solicitation does the organization anticipate using? Check all that apply.
Telemarketing
Publication/Magazine
Show/Concert/Event
Direct Mail
Email
Discount Coupons
Door-to-Door Solicitation
Website
Radio
Thrift Store
Social Media
Vehicle Donations
Other (describe): ________________________________________________
12. Total amount of contributions the organization anticipates receiving from Minnesota donors: $_________
13. Has the organization been denied the right to solicit contributions by any court or government agency?
Yes
No If yes, attach explanation.
14. Does the organization use the services of a professional fundraiser (outside solicitor or consultant) to
solicit contributions in Minnesota?
Yes
No
If yes, provide the following information for each (attach list if more space is needed):
__________________________________________________________________________________
Name of Professional Fundraiser
Compensation
__________________________________________________________________________________
Street Address
City, State, and Zip Code
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