Ministry Formation Intake Form Name of Entity* Date entity was conceived, organized, or started:* Entity's Physical Address: (no P.O. Box)* Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Entity's Phone # Entity's County # of Board Members (need a minimum of 2)* % of Voting Rights*Select valueequal among allcustom %Positions or Titles in a 508 Ministry at a minimum include: Managing Director (You) and Executive Director. Additional titles may include: Treasurer, Secretary, Assistant Managing Directors 1-3 etc., Please indicate corresponding title with each entry: TITLE: Managing Director - enter your name and contact information here*FirstLast Managing Director Address* Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Managing Director Phone* Managing Director Email* Managing Director Voting Rights Percentage* TITLE: Executive Director - enter your Executive Director's name and contact information here*FirstLast Executive Director Address* Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Executive Director Phone* Executive Director Email* Executive Director Voting Rights Percentage* TITLE: Treasurer - enter your Treasurer's name and contact information hereFirstLast Treasurer Address: Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Treasurer Phone Treasurer Email Treasurer Voting Rights Percentage TITLE: Secretary - enter your Treasurer's name and contact information hereFirstLast Secretary Address: Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Secretary Phone Secretary Email Secretary Voting Rights Percentage TITLE: Assistant Managing Director 1 - enter your Treasurer's name and contact information hereFirstLast Assistant Managing Director 1 Address: Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Assistant Managing Director 1 Phone Assistant Managing Director 1 Email Assistant Managing Director 1 Voting Rights Percentage TITLE: Assistant Managing Director 2 - enter your Treasurer's name and contact information hereFirstLast Assistant Managing Director 2 Address: Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Assistant Managing Director 2 Phone Assistant Managing Director 2 Email Assistant Managing Director 2 Voting Rights Percentage TITLE: Assistant Managing Director 3 - enter your Treasurer's name and contact information hereFirstLast Assistant Managing Director 3 Address: Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Assistant Managing Director 3 Phone Assistant Managing Director 3 Email Assistant Managing Director 3 Voting Rights Percentage MAILING ADDRESS FOR MINISTRY (if different) Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Please describe the purpose of the ministry:* Are you or were you involved in a controversy with the IRS?*YesNo If so when? Please briefly describe:This assists us in helping you remain in compliance to avoid taxes (by way of creating a compliant tax free entity) vs. evade taxes, the latter of which is unlawful and illegal. Holding the intent to be and remain in compliance and harmony with the United States is a necessary prerequisite for working with us. By contracting with us you agree to provide honest and accurate information to the best of your knowledge and ability on this form. A driver's license or government ID and a limited Power of Attorney (PoA) are also required for us to process this for you. Upload a scan or photo of your driver's license or government ID here. We will securely delete/wipe this after we have verified your identity. * How did you hear about us? *Search EngineSocial MediaPersonal Referralother Name of Personal Referral* Word VerificationSubmitReset
