TAX-EXEMPT QUESTIONS

1. What is the full name of the organization?

2. What is the address of the organization?

3. When does the annual accounting period end?

4. Who should be contacted for additional information? (Name and phone number)

5. Has the organization previously applied for tax-exempt status?

6. Has the organization filed federal income tax returns or exempt organization information returns?

7. Who are the directors or officers? (Name and address)

8. What is the annual compensation paid to directors and officers?

9. Are any of the directors/officers public officials or appointed by public officials?

10. What will be the organization's sources of financial support?

11. What is the organization's fundraising program?

12. To what extent has the organization put its fundraising plan into effect?

13. Have any of the director/officers contributed more than $5,000 to the organization?

14. Has the family member of any director/officer contributed more than $5,000 to the organization?

15. Does any director/officer own any interest in an entity that has contributed more than $5,000 to the organization?

16. Is the organization controlled by any other organization?

17. Is the organization the outgrowth of (or successor to) another organization, or does it have a special relationship with another organization by reason of interlocking directorates or other factors? If so, explain.

18. Will the organization engage in any of the following activities with any political organization or other exempt organization (excluding 501(c)(3) organizations):
    (a) grants?

    (b) purchases or sale of assets?

    (c) rental or facilities or equipment?

    (d) loans or loan guarantees?

    (e) reimbursement arrangements?

    (f ) performance of services, membership or fundraising solicitations?

    (g) sharing of facilities, equipment, mailing lists or other assets, or paid employees?

19. Is the organization financially accountable to any other organization?

20. What assets does the organization own that are used for the exempt function?

21. Will any of the organization's facilities or operations be managed by another organization/individual under a contractual agreement?

22. Is the organization a party to any leases?

23. Is the organization a membership organization?

24. Will the organization attempt to influence legislation? What percentage of time/funds will be devoted to this activity?

25. Will the organization attempt to influence legislation? What percentage of time/fund swill be devoted to this activity?

26. Will the organization limit its services to specific individuals or classes?

27. Will the organization intervene in political campaigns or publish statements?

28. What is the highest number of employees expected in the next 12 months?

29. What is the first date that wages will be paid?

30. Does the organization anticipate annual gross receipts averaging more than $10,000 during the first four years?

31. Has the organization or its predecessor previously applied for exemption from California taxes?

32. Are there plans to make any distribution of its property or surplus to officers or members?

33. Will any of the incorporators share any facilities with the organization?

34. Will any property be rented, purchased or transferred in any way from any of the incorporators?

35. Will any promoter, incorporator, founder or member be employed by the organization? If yes, what will be their duties, responsibilities, qualifications and compensation?

36. Will any director also be an officer or employee receiving compensation? If yes, how much compensation?

37. Describe in detail the programs the organization plans to conduct.

38. Does the organization hold or plan to hold stock in any corporation?

39. What is the proposed budget for the organization for the next three years?

40. We will also need: (a) a balance sheet, (b) copies of any leases, and (c) copies of any literature distributed.

41. Who will be the initial agent for service of process?

Questions, comments or suggestions? kbercik@taxcounsellor.com

Last updated November 3, 1997