Leaders Growing Leaders
Information About Your NonProfit
(to expedite processing, please enter information in the form below and SUBMIT )
What would you like the name of your non-profit to be? (Enter two proposed names)
Proposed Business Name 1
Proposed Business Name 2
What is the purpose of your nonprofit? Describe activities of nonprofit here.
Physical address of nonprofit for state record. (Enter street address, city, state, zip code)
Mailing address of nonprofit for state record.
Alert: Mailing address information is public record. If the business location is a home address, for privacy purposes it is advised that a P.O. Box is provided.
Name and address of 3 persons who will be on the Board of Directors.
Board Member 1
First Name
Last Name
Mailing Address
Board Member 2
First Name
Last Name
Mailing Address
Board Member 3
First Name
Last Name
Mailing Address
Business Contact Information
Contact Name
Contact Phone
Contact Email Address
SELECT THE STATE TO FORM YOUR NONPROFIT
Name and SSN of the Responsible Individual. (IRS requires this information to obtain a tax identification number for the nonprofit organization)
Responsible Individual's Name
SSN
