12. Attachment F - Verification of 501 (3)(c) Status
Attachment F
Verification of 501 (C) (3) Status
To: State Division Head and Chief Fiscal Officer
Certification:
We certify that the organization name and that the Internal Revenue Service letter granting Federal Tax exempt status previously filed with the North Carolina Department of Administration, Division of division name is still accurate and that our organization remains a certified 501 (C) (3) organization.
Sworn Statement:
_______________________(Name of Board Chair) and _______________________(Name of Second Authorizing Official) being duly sworn, say that we are the Board Chair and
_________________________(Title of Second Authorizing Official), respectively, of ______________________________________________________(organization name) of ____________________ (City) in the State of____________________ (State name); and that the foregoing certification is true, accurate, and complete to the best of our knowledge and was made and subscribed by us.
___________________________________________________________
Board Chair Signature
__________________________________________________________
[Title of Second Authorizing Official]
Sworn to and subscribed before me on the day of the date of said certification.
____________________________________ My commission expires: ____________
Notary Signature and Seal
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- nysed verification of license
- verification of employment form printable
- verification of new york medical license
- the work number verification of employment
- verification of employment letter template
- printable verification of employment letter
- verification of treasury check
- verification of previous employment letter
- letter requesting verification of employment
- 3 c s of customer service
- letter of verification of employment
- 3 c s of marketing