Tax-Exempt Organization Notice of Intent to Operate Under Section 501(c)(4) Form

Tax-Exempt Organization Notice of Intent to Operate Under Section 501(c)(4) Form
Official notice for organizations intending to operate as a tax-exempt civic social welfare organization under Section 501(c)(4). Complete all fields to submit your intent.
Legal Name of Organization
Employer Identification Number (EIN)
Organization Email Address
example@example.com
Organization Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Principal Address of Organization
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Date Organization Intends to Begin Operations Under Section 501(c)(4)
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Organization Type
Primary Contact Person Name
First NameLast Name
Brief Description of Organization's Purpose and Mission
Describe the Organization's Planned Activities
Should be Empty: