Please complete this Intake Application if you have decided to start a nonprofit organization and would like Maryland Nonprofits' Consulting Team to help you. Your application will be reviewed and a member of our team will contact you to determine next steps. If you are still not sure, please review our description of services here.

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* 1. Which Flat Fee Package are you applying for?

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* 2. Name of Nonprofit

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* 3. Name of Founder (or Authorized Representative)

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* 4. Full Mailing Address of Founder (or Authorized Representative)
(cannot be a P.O. Box)

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* 5. Email of Founder (or Authorized Representative)

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* 6. Phone Number of Founder (or Authorized Representative)

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* 7. Describe the Nonprofit's Purposes / Mission

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* 8. Describe the Nonprofit's Planned Activities

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* 9. Full Address of the Nonprofit's Principal Office
(cannot be a P.O. Box and must be in Maryland)

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* 10. Name of the Nonprofit's Resident Agent
(must be a Maryland resident over 18 years old or a Maryland commercial resident agent service) (may be founder)

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* 11. Full Address of the Resident Agent
(cannot be a P.O. Box and must be in Maryland)

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* 12. Type of Governance

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* 13. Number of Directors for the Initial Board (Must be at least 3)

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* 14. Names of the Directors for the Initial Board (Please list all)

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* 15. Which of the directors for the initial Board will serve in the following Board officer positions (not staff)?
(If unknown, put TBD.  If not using Vice President, put None.)

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* 16. Maximum Number of Board Members Allowed

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* 17. Minimum Number of Board Members Allowed

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* 18. Length of Terms for Board Directors (Recommended:  2 years)

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* 19. Length of Terms for Board Officers (Recommended: 1 or 2 years)

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* 20. Frequency of Board Meetings

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* 21. Will you be hiring paid staff within the first 3 years of operation?
(If yes, insert the total expected compensation for that year.  If no paid staff for a particular year, put None.)

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* 22. Will you use Maryland Nonprofits' model bylaws?

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* 23. Will you use Maryland Nonprofits' model conflict of interest policy?

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* 24. What is the nonprofit's accounting year?

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* 25. If fiscal year, what is the 12 month period?

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* 26. What do you expect in gross revenue for the first 3 years of operation?
(Insert the total expected gross revenue for that year)

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* 27. Expected Sources of Revenue

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* 28. Do you plan on soliciting donations/grants from people or organizations that are located outside of Maryland?

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* 29. Do you have a fiscal sponsor?

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* 30. Have you developed a budget?

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* 31. If yes, please upload.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 32. Please complete this IRS 1023EZ Eligibility Worksheet and upload the completed worksheet so that we may assess your application options.  Once downloaded, the PDF is a fillable form that you can complete, save, and upload.

PDF file types only.
Choose File

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