Yealry Donation Request for Nonprofits

New Harbor Roofing & Construction sets donation giving 1 calendar year in advance. If you would would like us to consider a nonprofit for yearly donations, please provide some additional information regarding the nonprofit.

Name of Nonprofit *

Please provide your mission statement *

Name of person filling out this form *

First Name

Last Name

What is your role with the nonprofit? *

Your contact number *

Email for correspondence *

How do you prefer to correspond with us? *

Phone

Email

Text

Other

Department of the Treasury IRS Determination Letter You are welcome to email this at a later date if necessary

Choose File

Effective date of exemption * This is found on your IRS determination letter

MM/dd/yyyy

Status per IRS on today's date *

Public Charity

Private Foundation

Purpose according to 1023-EZ or 1023 'long form' *

Charitable

Scientific

Religious

Literacy

Educational

Testing for public safety

To foster national or international amateur sports competition

Prevention of cruelty to children or animals

Type of organization *

Corporation

Unincorporated association

Trust

Are your our point-of-contact for the nonprofit? *

Yes

No

Other contacts Please list any additional contacts that we should correspond with, including their contact information

Website for the nonprofit

Donation Specifics * Are you looking for non-restricted donations, or purpose-specific donations?

Non-Restricted

Purpose-specific

Both non-restricted and purpose-specific

Other

Details If you are looking for purpose-specific donations, please describe your project

Anything you'd like to add?

Signature *

Verification Code*

To make sure you are human

Yearly Donation Request for Nonprofits

Link to resume this form later:

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