Instructions For Form 1024-A - Application For Recognition Of Exemption Under Section 501(C)(4) Of The Internal Revenue Code Page 3

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the person to be contacted during
state official, you may submit a substitute
For each past, present, or planned
business hours if more information is
copy of your articles of incorporation. This
activity, include information that answers
needed. The contact person should be an
substitute copy may be handwritten,
the following questions.
officer, director, or a person with power of
typed, printed, or otherwise reproduced. It
What is the activity?
attorney who is familiar with the
must be accompanied by a declaration,
Who conducts the activity?
organization's activities and who is
signed by an officer authorized to sign for
Where is the activity conducted (for
authorized to act on its behalf. Attach
you, that it is a complete and correct copy
example, Los Angeles and San Francisco,
Form 2848 or other power of attorney.
of the articles of incorporation and that it
California)?
contains all the powers, principles,
How does the activity further your
Line 7. Organization’s website. Enter
purposes, functions, and other provisions
exempt purposes?
your complete website address if you
by which you currently govern yourself.
What percentage of your total time is
have one. Also, list any websites
allocated to the activity?
maintained on your behalf. The
Line 2. Limited Liability Company
How is the activity funded? (This should
information on your website should be
(LLC). In the case of a limited liability
agree with the financial data in Part VI.)
consistent with the information in your
company, the state approved articles of
List any alternate names under which
Form 1024-A.
organization must be submitted along with
you operate, including any “aka” (also
the operating agreement if one has been
Part II. Organizational Structure
known as) or “dba” (doing business as)
adopted. For more information on
names.
requirements for LLCs applying for
Type of Organization and
recognition of exemption, see IRS.gov.
If you have a website, you may attach a
Organizational Documents
print out of your website page to support
Line 3. Unincorporated association.
your narrative description of activities.
Organizing instrument. Submit a
An “unincorporated association” formed
conformed copy of the organizing
under state law must have at least two
Part IV. Officers, Directors,
instrument. If the organization doesn't
members who have signed a written
Trustees, Employees, and
have an organizing instrument, it won't
document for a specifically defined
Independent Contractors
qualify for exempt status. A conformed
purpose.
copy is one that agrees with the original
The articles of organization of an
Line 1. Enter the name, title, and mailing
and all amendments to it. The conformed
unincorporated association must include
addresses of the organization's principal
copy may be:
the name of your organization, your
officers, directors, or trustees. Don't give
• A photocopy of the original signed and
purpose, the date the document was
the address of the organization.
dated organizing document; or
adopted, and the signatures of at least two
• A copy of the organizing document that
Line 2. Describe business relationships
individuals. If your copy doesn’t contain
is unsigned but is sent with a written
between the organization and any of your
the proper signatures and date of
declaration, signed by an authorized
officers, directors, trustees, employees,
adoption, you may submit a written
individual, that states that the copy is a
members, or independent contractors
declaration that states your copy is a
complete and accurate copy of the original
other than their position with you as an
complete and accurate copy of the signed
signed and dated document.
officer, director, trustee, employee,
and dated original. Your declaration
member, or independent contractor.
should clearly indicate the original date of
If you file Form 1024-A within 27
Describe family or business relationships
months after the end of the month
adoption.
!
between your officers, directors, trustees,
in which you were legally formed,
Bylaws may be considered an
CAUTION
employees, members, or independent
and we approve the application, the legal
organizing document only if they
TIP
contractors other than their position with
date of formation will be the effective date
are properly structured (includes
you as an officer, director, trustee,
of your exempt status. If you do not file
name, purpose, signatures, and intent to
employee, member, or independent
Form 1024-A within 27 months of
form an organization).
contractor.
formation, you may not qualify for exempt
“Family relationships” include the
status before the date we receive Form
Line 4. Trust. In the case of a trust, a
individual’s spouse, ancestors, children,
1024-A. The date considered to be the
copy of the signed and dated trust
grandchildren, great-grandchildren,
date we receive Form 1024-A is generally
instrument must be furnished. Generally, a
siblings (whether by whole or half blood),
the postmark date.
trust must be funded with property, such
and the spouses of children,
as money, real estate, or personal
grandchildren, great-grandchildren, and
Line 1. Corporation. A “corporation” is
property to be legally created. Enter the
siblings.
an entity organized under a Federal or
date that the trust was funded.
“Business relationships” include
state statute, or a statute of a federally
employment and contractual relationships,
Line 5. Bylaws. “Bylaws” are generally
recognized Indian tribal or Alaskan native
and common ownership of a business
the internal rules and regulations of an
government. A corporation's organizing
where any officers, directors, or trustees,
organization. If you have bylaws, you
document is its “articles of incorporation.”
individually or together, possess more
should submit a current copy.
Certification of filing. If formed under
than a 35% ownership interest in common.
Bylaws don’t need to be signed unless
state statute, your articles of incorporation
“Ownership” means voting power in a
they are the organizing document as
must show certification of filing. This
corporation, profits interest in a
described in Line 3 above.
means your articles show evidence that on
partnership, or beneficial interest in a trust.
a specific date they were filed with and
Part III. Activities
Line 3a. Answer each item with
approved by an appropriate state
Describe completely and in detail your
information about compensation paid to
authority. The document must be an exact
past, present, and planned activities. Do
your officers, directors, trustees,
copy of what is on file with your state.
not refer to or repeat the purposes in your
employees, members, or independent
organizing document. You may refer to
Substitute Articles of Incorporation.
contractors.
If you don’t have a copy of your articles of
other parts of the application rather than
Line 3b. A “conflict of interest” arises
incorporation showing evidence of having
repeat information provided elsewhere.
when a person in a position of authority
been filed and approved by an appropriate
over an organization, such as a director,
Instructions for Form 1024-A
-3-

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