Apply to Become a Beneficiary

Please fill out the information completely.

This form is for new applicants only. It is not used to re-submit your yearly 990 to maintain your approved status. If you have already been approved, please submit your updated 990 through email to your Benefits Program Coordinator, or call us with questions.

PLEASE NOTE: By submitting this application and providing the documents requested, you are indicating the legal right to represent this organization.

Non-Profit Entity Name*

Type of 501(c)(3) Non-Profit:*

Website*

Non-Profit Entity Phone*

Address*

Street Address with suite (if) or P.O. Box City State / Province / Region ZIP / Postal Code Country

Point of Contact

Point of Contact, Full Name*

Point of Contact Title in Organization*

Point of Contact Phone Number*

Point of Contact Email*

Enter Email Confirm Email

About the Non-Profit

We need to verify the organization's non-profit status.*

Please upload IRS status or designation letter (with entity name & address), current 990, and (optional) org's approved articles.

Drop files here or

Accepted file types: (pdf, jpeg, jpg, gif, png), Max. file size: 768 MB, Max. files: 6.

We need your logo to create the fundraising effort.*

Please upload the organization's main logo or logos in high resolution files with transparent background if possible.

Drop files here or

Accepted file types: (pdf, jpeg, jpg, gif, png), Max. file size: 768 MB, Max. files: 6.

Please Provide the Purpose for Which the Organization was Organized.

Please Provide the Purpose for Which the Contributions Will be Used.*

Final Question: How Does the Organization Reach Supporters? Please check all that apply. We will use this information to provide you with the appropriate resources that you will need to hold a successful fundraiser.*

How Do You Reach Your Supporters?*

Name

This field is for validation purposes and should be left unchanged.

Become a Local Movement Partner;
Give us a call at: 1 (800) 577-0302

Non-Profit Beneficiary Application

Please fill out the information completely.

Point of Contact

About the Non-Profit