Charitable Trust Registration Form

* Indicates a required field

Organization Information

Establishment of Trust

Financial Information

Officers, Directors, or Trustees

Signature

Name of Trust:

Date of Report:

Tax ID Number:

Fiscal Year Start Date:

Trust Address:

City, State, Zip:

Principal Contact Person:

Role:

Email Address:

Phone Number:

Tax Exempt Status:

The trust is not required to apply for federal tax exempt status.

The trust holds tax exempt status under IRS Code 501(c).

The trust has applied for tax exempt status but has not received an IRS determination letter.