Form Reg-1e - Application For Exempt Organization Certificate - 2000

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REG-1E (7-00)

STATE OF NEW JERSEY

OFFICIAL USE ONLY

DIVISION OF TAXATION

DLN

APPLICATION FOR EXEMPT ORGANIZATION CERTIFICATE

MAIL TO:

Determination ____________________

NJ Division of Taxation

Read Instructions Before Completing This Form

Effective

Regulatory Services Branch

ALL SECTIONS MUST BE FULLY COMPLETED

Date ____________________________

PO Box 269

Trenton, NJ 08695-0269

INSTRUCTIONS

Nonprofit organizations applying for New Jersey sales tax exemption must complete this form. Other than organizations specifically exempted in the sales tax

law (veteran’s, volunteer fire, emergency and p.t.a. organizations), sales tax exemption is granted only to organizations having an IRS 501(c)(3) determination

(organizations that are exclusively religious, charitable, scientific, testing for public safety, literary or educational). An IRS 501(c)(3) letter must be submitted

except for veteran’s, volunteer fire, emergency and p.t.a. organizations, which should submit any IRS determination they have. For information on 501(c)(3)

determinations, please call the IRS at (877) 829-5500.

Organizations not qualifying for exemption that need to register for taxes should not complete this form but must complete a NJ-REG form, obtainable by

calling 1-800-323-4400.

Send this COMPLETED AND SIGNED application and the documents listed at the bottom to: EO Unit, Regulatory Services Branch, New Jersey Division

of Taxation, PO Box 269, Trenton, NJ 08695-0269. Allow five weeks for processing. If you have questions, call Regulatory Services at (609) 292-5994.

A. Name_________________________________________________________

B. FEIN #

______________________________________________________________

E. Mailing Name and Address -

(if different from physical location)

C. Trade Name____________________________________________________

Name _____________________________________________________

______________________________________________________________

D. Physical Location:

(do not use PO Box for location address)

Street _____________________________________________________

Street_________________________________________________________

City______________________ State _______ Zip Code ________________

City ______________________ State ______ Zip Code _____________

(Give 9-digit Zip)

F. 1. Will you collect New Jersey Sales Tax? . . . .¨ Yes ¨ No

If yes, give date of first sale ________ / ________ / ________

(Not required if you have exempt organization certificate and only occasional sales)

Month

Day

Year

¨ Atlantic City

¨ Salem County

¨ North Wildwood

¨ Wildwood Crest

¨ Wildwood

2. If yes, is your business located in?

(Check applicable box or boxes)

G. Will you soon begin paying wages, salaries or commissions to employees working in New Jersey and/or to New Jersey residents? . . . . .¨ Yes

¨ No

If yes, give date of first wage or salary payment _______/_______/_______ and give date that gross payroll will exceed $1, 000 _______/_______/_______

Month

Day

Year

Month

Day

Year

H. County / Municipality Code

I. IF A CORPORATION, give State of Incorporation _________________ and date ______/______/______

(See attached codes)

J. Contact Person _______________________________________ Daytime Phone #: (______) ____________ Evening Phone #: (______) _____________

K. Provide the following information for the responsible officers.

(If more space is needed, attach rider.)

NAME

SOCIAL SECURITY NUMBER

HOME ADDRESS

(Last Name, First, MI)

TITLE

(Street, City, State, Zip)

FOR YOUR APPLICATION TO BE PROCESSED, YOU MUST SUBMIT A COPY OF THE ORGANIZATION’S:

1) Articles of Organization (Articles of Incorporation, Constitution, Charter or Trust Agreement) and Bylaws; and

2) IRS Determination Letter stating that the organization is exempt from federal income tax under §501(c)(3) (for exceptions, see instructions above); and

3) If your IRS 501(c)(3) letter is a “group” exemption letter, submit current letter, directory or listing from your central organization indicating that your subunit is

included under a group 501(c)(3) exemption.

I certify that all information given in this application is correct and also that any documents submitted are true copies.

______________________________________________________________________________________________________________

SIGNATURE

Title or position

Date

Copy 1 - White - For Division of Taxation - R

Copy 2 - Canary - For Division of Taxation - TS

Copy 3 - Pink - For Applicant