This form will provide us with basic information
regarding the scope of work in your document preparation.
1. Personal Contact Information
*Contact
First Name:
*Contact Last Name:
*Phone:
*Email:
2. Organization Contact
Information
*Organization Name:
*Your Title:
*Are you authorized to sign documents and enter into agreements on the organizations' behalf?
Yes
No
*Business Phone:
Business Fax:
Website Address or Domain Name: www.
.com
.net
.biz
.org
.info
other
Organization Email (example: Info@xyz.com):
*Organization
Address:
Suite/Unit:
*City:
*
*Zip:
3. Non Profit Category
Which of the following categories closely describes your organization's
function:
Church or Church Auxiliary
Community or At Risk Youth
Hospital/Medical Research
School/College/University
Personal Care or Similar Home
Other
If "Other" was selected, please describe the organization's category:
*How long has business been
operating:
*Number of current managers or directors:
*Number of current
non-management employees
*Number of volunteers
Briefly describe the expectations for your organization upon 501(c)(3)
recognition (100 Words Max).
Characters Left
4.
Treasury Department Requirements
The Treasury Department has certain standard
requirements for non profits. Does your organization currently
have the following:
Financial Statements or Projections for three years?
Yes
No
Separate bank account for the organization?
Yes
No
State recognition as a Corporation?
Yes
No
5.
Quote Delivery Preference
*What is your preferred method (s) for
receiving your quote?
Phone
Email
Fax
Please verify the accuracy of Contact Information for quote delivery.
6.
Hillman B2 Quote Request Policies
Waiver Agreement.
Please be advised that paying Hillman B2 to develop the 501(c)(3) documents has no bearing on the final decision made by the U.S.
Treasury Department. The commitment made by Hillman B2 is that we
will properly and professionally prepare the documents based upon
information you submit, and provide them to you for final
submission after payment is received. We make no warrants, claims, or guarantees that
the U.S. Treasury Department or any other government agency will
approve your request for recognition as a non profit organization.
Payment & Cancellation. All Quote
Requests submitted through this website are submitted with no
purchase obligation. In order to receive services, HillmanB2.com website visitors must agree that
after receiving a quote, if a product or service is then ordered,
that full compliance with the terms of our
Payment & Cancellation Policy is required. The policy can be reviewed
here.
7. Form Submission
Agreement with the Hillman B2 Quote Request Policies is required
to process the form. If
you do not agree, you may close out this window. If you agree,
proceed forward by selecting the I agree option below:
I
agree
For form security, confirm the Image
Recognition Code.
