{"_id":"66db073491015f39b306d100","type":"form","tags":[],"owner":"5f9acba5f1b659b9e06350e4","components":[{"title":"Eligibility Requirements and Identification of Applicant","breadcrumbClickable":true,"buttonSettings":{"previous":false,"cancel":false,"next":false},"collapsible":false,"tableView":false,"key":"eligibilityRequirements","type":"panel","label":"Eligibility Requirements","input":false,"components":[{"label":"Top of Form","columns":[{"components":[{"label":"authorizationToken","key":"authorizationToken","type":"hidden","input":true,"tableView":false,"hideOnChildrenHidden":false,"width":12}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":2},{"components":[{"label":"agencyFormId","key":"agencyFormId","type":"hidden","input":true,"tableView":false,"hideOnChildrenHidden":false,"width":12}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":2},{"components":[{"label":"min/max","persistent":"client-only","calculateServer":true,"trigger":{"init":true,"server":true},"dataSrc":"url","fetch":{"url":"{{ config.PAYGOV_ENV }}/public/api/v1/minmaxamount/{{ data.agencyFormId }}","method":"get","headers":[{"key":"X-Paygov-Authorization-Token","value":"{{ data.authorizationToken }}"}],"forwardHeaders":true,"authenticate":false},"key":"minMax","type":"datasource","input":true,"tableView":false,"hideOnChildrenHidden":false,"width":12}],"size":"md","width":2,"offset":0,"push":0,"pull":0,"currentWidth":2},{"components":[{"label":"Company Profile","persistent":"client-only","calculateServer":true,"trigger":{"init":true,"server":true},"dataSrc":"url","fetch":{"url":"{{ config.PAYGOV_ENV }}/public/api/v1/companyprofile/{{ data.agencyFormId }}","method":"get","headers":[{"key":"X-Paygov-Authorization-Token","value":"{{ data.authorizationToken }}"}],"forwardHeaders":true,"authenticate":false},"key":"CompanyDataFromPaygov","type":"datasource","input":true,"tableView":false,"validate":{"multiple":true},"hideOnChildrenHidden":false,"keyModified":true,"multiple":true,"width":12}],"size":"md","width":2,"offset":0,"push":0,"pull":0,"currentWidth":2}],"hideOnChildrenHidden":false,"key":"topOfForm","type":"columns","input":false,"tableView":false,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true},{"label":"HTML","attrs":[{"attr":"","value":""}],"content":"Part I - Eligibility Requirements and Identification of Applicant (See Instructions)
 ","refreshOnChange":false,"key":"html17","type":"htmlelement","input":false,"tableView":false,"errorLabel":"Response"},{"label":"Check this box to attest that you have completed the Form 1023-EZ Eligibility Worksheet in the current instructions, are eligible to apply for exemption using Form 1023-EZ, and have read and understand the requirements to be exempt under section 501(c)(3).","tooltip":"Only certain organizations are eligible to apply for exemption under section 501(c)(3) using Form 1023-EZ. To determine if you are eligible to file Form 1023-EZ, you must complete the Form 1023-EZ Eligibility Worksheet.\r\n\r\nIf you meet the eligibility requirements, you check this box to attest that you are eligible to file the form. By checking this box, you are also attesting that you have read and understand the requirements to be exempt under section 501(c) (3). You are not required to submit the eligibility worksheet with your form. However, you should retain the worksheet for your records.\r\n\r\nSee instructions for more information.","tableView":false,"defaultValue":false,"validate":{"required":true},"errorLabel":"Check this box to attest that you have completed the Form 1023-EZ Eligibility Worksheet in the current instructions, are eligible to apply for exemption using Form 1023-EZ, and have read and understand the requirements to be exempt under section 501(c)(3).","key":"EligibilityWorksheet","overlay":{"page":1,"left":43,"top":"135.","width":"18","height":"18"},"type":"checkbox","input":true},{"label":"Have your annual gross receipts exceeded $50,000 in any of the past 3 years and/or do you project that your annual gross receipts will exceed $50,000 in any of the next 3 years? If yes, stop. Do not file Form 1023-EZ. See Instructions.","optionsLabelPosition":"right","tooltip":"Gross receipts are the total amounts the organization received from all sources during its annual accounting period, without subtracting any costs or expenses. You should consider this year and the next two years.","inline":false,"tableView":false,"values":[{"label":"Yes","value":"1","shortcut":""},{"label":"No","value":"0","shortcut":""}],"dataType":"string","validate":{"required":true},"errorLabel":"Have your annual gross receipts exceeded $50,000 in any of the past 3 years and/or do you project that your annual gross receipts will exceed $50,000 in any of the next 3 years?","key":"GrossReceiptTest","type":"radio","input":true},{"label":"HTML","attrs":[{"attr":"","value":""}],"content":"STOP! Do not file this form. You're not eligible to file Form 1023-EZ because your annual gross receipts exceeded $50,000 in at least one of the past three years or you project that your annual gross receipts will exceed $50,000 in at least one of the next three years.

\r\n\r\nIf you want to pursue exemption under Internal Revenue Code Section 501(c)(3), you must file a complete Form 1023, Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code.\r\n
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\r\n\r\nIf you want to pursue exemption under Internal Revenue Code Section 501(c)(3), you must file a complete Form 1023, Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code.\r\n
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We will request a Form 2848, Power of Attorney and Declaration of Representative, if we need to contact an authorized representative for additional information.","tableView":true,"case":"uppercase","validateOn":"blur","validate":{"required":true,"custom":"var regEx = /^[A-Z\\d\\-\\& ]+$/i;\r\n\r\nif (input === \"\" || input === null || input === undefined) {\r\n\tvalid = true;\r\n} else {\r\n\tif (regEx.test(input)) {\r\n\t\tvalid = true;\r\n\t} else {\r\n\t\tvar s = input.replace(/[A-Z\\d\\-\\& ]/ig, \"\");\r\n\t\tvalid = \"Input contains invalid character(s): \" + s.split(\"\").join(\" \");\r\n\t}\r\n}","maxLength":35},"errorLabel":"Response","key":"PII_PrimaryContactName","overlay":{"page":1,"left":555,"top":420,"width":"490","height":21},"type":"textfield","input":true,"hideOnChildrenHidden":false}],"size":"md","width":4,"offset":0,"push":0,"pull":0,"currentWidth":4}],"tableView":false,"key":"columns2","type":"columns","input":false,"errorLabel":"Response","hideOnChildrenHidden":false},{"label":"Columns","columns":[{"components":[{"label":"5. 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User Fee Submitted","tooltip":"A user fee is required to process your application. This fee must be paid through Pay.gov when you file your application. Payments can be made directly from your bank account or by credit/debit card. For the current exempt organization user fee amounts, go to IRS.gov/charities-non-profits/user-fess-for-tax-exempt-and-government-entities-division. 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\n8. List the names, titles, and mailing addresses of your officers, directors, and/or trustees. (If you have more than five, see instructions.)","refreshOnChange":false,"key":"html9","type":"htmlelement","input":false,"tableView":false,"errorLabel":"Response"},{"label":"Columns","columns":[{"components":[{"label":"Select the number of officers, directors, and/or trustees. ","widget":"html5","tooltip":"Officers, directors, and trustees. Enter the full names, titles, and mailing addresses of your officers, directors, and/or trustees. You may use the organization's address for mailing. 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\r\n\r\nIf you want to pursue exemption under Internal Revenue Code Section 501(c)(3), you must file a complete Form 1023, Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code.\r\n
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\r\n\r\nA public charity generally has a broad base of support, while a private foundation generally receives its support from a small number of donors. A new organization ?normally? receives the requisite amount of public support and meets the applicable public support test if the organization can reasonably be expected to meet the requirements of the applicable public support test during its first five taxable years. Before selecting your foundation classification, please carefully review the instructions, which provide more information on foundation classification and details regarding how to calculate your actual or anticipated public support. See Publication 557 for more information.

\r\n\r\nIf you wish to change your foundation status after your initial determination you will be required to submit Form 8940 with the appropriate user fee payment.
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