Delaware-Non Profit Complete Incorporation Service

Delaware

ONLINE WORKSHEET FOR ORGANIZING A DELAWARE NON-PROFIT CORPORATION

Please furnish us with the following information to organize a Delaware Non-Profit Corporation.

Contact Information

Firm Name

Attention

Phone

Address

Street Address City State ZIP Code

Entity Information

Proposed Name

2nd Choice

3rd Choice

Will the corporation have members?

Will the corporation apply for recognition under section 501(C)(3) of the Internal Revenue Code?**

Incorporator Name and Address

Incorporator

M. Burr Keim Company to sign as incorporator

Incorporator Name

Incorporator Address

Street Address City State ZIP Code

Registered Agent Information

Registered Agent

M. Burr Keim Company to Provide

We can provide the required registered office service for an annual fee of $125.

Registered Agent Name

Registered Agent Address - Physical Delaware Address

Street Address City State ZIP Code

Registered Agent Email

(Required for New Delaware Registered Agents)

Registered Agent Phone Number

(Required for New Delaware Registered Agents)

Communications Contact - Name of the natural person who is an officer, director, employee, or designated agent of the entity

Communications Contact - U.S.A. Street Address

Street Address Address Line 2 City State ZIP Code

Communications Contact - Email Address

Communications Contact - Phone Number

Director Information (Minimum of 3):

Director Name

Social Security #

Address

Street Address Address Line 2 City State ZIP Code

Director Name

Social Security #

Address

Street Address Address Line 2 City State ZIP Code

Director Name

Social Security #

Address

Street Address Address Line 2 City State ZIP Code

Names of Officers

President Name

Vice President Name

Secretary Name

Treasurer Name

Other Officer Title and Name

Federal Employer Identification Number (FEIN)

Please complete the following section if you would like M. BURR KEIM COMPANY to obtain the FEIN.

FEIN - Legal name of the responsible person

Social Security Number

FEIN - Mailing Address

Street Address City State ZIP Code

FEIN - Phone

FEIN - Brief Statement of Purpose

Does the entity have/expect to have employees who will receive forms W-2 in the next 12 months?

Yes

Does the entity expect to pay less than $5,000 in total wages during the next calendar year?

Yes

When does the entity expect to begin paying wages (mm/yr)?

Pricing Information

The estimated costs are as follows:

Delaware State Filing Fee	$160.00*
Checking Availability of Name	$10.00
M. BURR KEIM COMPANY Service Fee	$135.00
Obtain FEIN	$50.00
Corporation Outfit	$75.00

After the corporation has been organized it is necessary to obtain recognition from the IRS of nonprofit status. This is done by filing an application for recognition as a nonprofit entity. If the corporation has been organized for charitable, educational, scientific or literary purpose form 1023 must be filed with the IRS (religious entities are not required to but many may apply for recognition).

All other nonprofit corporations must file form 1024.

Call IRS at 1-800-829-3676 to obtain the appropriate forms and publication 557 which more fully describes the filing requirements. Forms may also be obtained at https://www.irs.gov/

Membership Certificates?

Please include membership certificates with my corporation outfit - add $19.75.

Special Instructions

All requests are submitted for filing on a 24-hour, expedited basis. Please check one of the following if you prefer:

Routine Service - subtract $50.00 from Delaware State Filing Fee listed above. *Filings returning within a few days currently. Typically has a backlog in December

Same Day Service - add $50.00 to Delaware State Filing Fee listed above.

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