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16830 Ventura Blvd, Suite 360 Encino, CA 91436 Toll Free: 800-880-2602 Intl: 818-380-1940 Fax: 818-592-4041

501C3 Order Form

Service Menu

Service Fee: For only $499 we will have your

501(c)(3) application expertly prepared by our staff of nonprofit specialists. IRS Filing Fee:

$499.00

If anticipated gross receipts is less than

$40,000 in the first four years of operation

$300.00

If anticipated gross receipts is more than

$40,000 in the first four years of operation State Filing Fee: In addition to filing the exemption status with the IRS, you also need to file exemption status with the State in which you are incorporated in. State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa State Fee $20 $50 $40 $50 $25 $75 $NA $107 $70 $NA $125 $50 $30 $50 $30 $20 State Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina

$750.00

State Fee $25 $20 $30 $45 $45 $NA $25 $NA $60 $40 $NA $25 $50 $125 $35 $25 1

Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi

$20 $8 $60 $20 $50 $35 $20 $70 $75

South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

$20 $100 $NA $20 $75 $81 $30 $NA $35 $25

State Fee

$___________ $300.00

Expedite 501c3 filing Prepare Bylaws for your organization:

We will prepare the bylaws for your non profit organization, which do need to be included with the tax exempt application.

NO FEE

If your organization already has the bylaws prepared or wish to do them yourself, please check mark this box. If applicable, please submit a copy of your bylaws with this application

TOTAL

$___________

Payment Information:

I wish to pay by:

Card Type Card Number Exp. Date

Check Money Order Visa MasterCard Amex Discover

2

Company Name:

Billing Information: First Name Last Name Address Address (Cont.) City State Zip code Country Contact Information: Please list the person that you would like us to contact if we need further information from you. Name Address Address (cont) City, State Zip Phone Fax Email

3

I would like any correspondence from Legafilings.com, Inc to come to the above address

Yes

No (if no, please fill out below information)

Mailing Address (include city, state and zip)

I would like for Legalfilings.com, Inc. to send the second part of the application via

email

fax

mail

4

Information

4 pages

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