Form 1024 - Application For Recognition Of Exemption Under Section 501(A) Page 3

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3
Form 1024 (Rev. 1-2018)
Page
Part II. Activities and Operational Information (continued)
3 Give the following information about the organization’s governing body:
a Names, addresses, and titles of officers, directors, trustees, etc.
b Annual compensation
4 If the organization is the outgrowth or continuation of any form of predecessor, state the name of each predecessor, the period during which it
was in existence, and the reasons for its termination. Submit copies of all papers by which any transfer of assets was effected.
5 If the applicant organization is now, or plans to be, connected in any way with any other organization, describe the other organization and explain
the relationship (for example, financial support on a continuing basis; shared facilities or employees; same officers, directors, or trustees).
6 If the organization has capital stock issued and outstanding, state: (1) class or classes of the stock; (2) number and par value of the shares;
(3) consideration for which they were issued; and (4) if any dividends have been paid or whether your organization’s creating instrument
authorizes dividend payments on any class of capital stock.
7 State the qualifications necessary for membership in the organization; the classes of membership (with the number of members in each class);
and the voting rights and privileges received. If any group or class of persons is required to join, describe the requirement and explain the
relationship between those members and members who join voluntarily. Submit copies of any membership solicitation material. Attach sample
copies of all types of membership certificates issued.
8 Explain how your organization’s assets will be distributed on dissolution.
1024
Form
(Rev. 1-2018)

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