Form Npo - Retail Sales And Use Tax Exemption Instructions Page 4

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Question 11. Federal Form 990, 990-EZ, 990-PF or 990-N Requirement: Check the appropriate box
if you are required to file a federal Form 990, 990-EZ, 990-PF, or 990-N. If you are
required to file federal Form 990, 990-EZ, 990-PF, or 990-N, submit a copy with your
application. If you are not required to file, you must provide the names, titles, addresses
and telephone numbers of only two members from the organization’s Board of Directors.
NOTE: Check “YES” even if you have not filed your return.
Question 12 Virginia Solicitation of Contributions Law: Virginia Department of Agriculture and
Consumer Services (VDACS), Office of Charitable and Regulatory Services is responsible
for the administration of the Virginia Solicitation of Contributions Law, which requires any
charitable organization soliciting in Virginia for charitable donations to register with their
office. If you intent to solicit contributions in Virginia and have registered with VDACS,
check “Yes”. If you have not registered, please contact their office for registration
information. If you do not intend to solicit contributions in Virginia, check NO and there is
no requirement to register. For additional information contact VDACS at (804) 786-1343.
Section VII - Signature
This section must be completed.
Read the statement and complete the section if you are authorized to sign the application.
If not, have the application signed and dated by an authorized person. Unsigned
applications will not be processed.
CHECKLIST
Please make sure all questions are answered and that the following documents are included with
the application, if required:
501(c)(3) or 501(c)(4) - IRS Determination Letter
Mission Statement or Statement of Purpose
Proof of registration for Virginia Solicitation of Contributions Law
Federal Form 990, 990-EZ, 990-PF, 990-N, or substitute form
Independent Financial Audit or Review from an Independent Certified Public Accountant
Estimate of Total Taxable Purchases in Virginia (estimates are acceptable)
Authorized Representative’s Signature
MAILING INFORMATION
Virginia Department of Taxation
Office of Customer Services
Nonprofit Exemption Unit
Post Office Box 27125
Richmond, Virginia 23261-7125
Va. Dept. of Taxation
Rev. (8/15/13)
Page 4

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