Questionnaire for 501c3 Exemption Status Please provide the name and address of the organization. Website address Charitable purpose for organization/ describe specific activities. Charitable purpose for fund solicitation. In order to fully operate as a non-profit organization with exempt status, you must name a succession charitable (non-profit) or government organization to donate assets to in the event of dissolution and liquidation. Please name and address the succession organization for this purpose. Provide the name, title, and contact information of the officers for the Board of Directors. Please select all that apply to satisfy one of the following purposes for the organization of applicant Charitable Scientific Religious Literary Educational Testing for Public Safety Prevention of Cruelty to Children/Animals Thank you!
