1 | Do you project that your annual gross receipts will exceed $50,000 in any of the next 3 years? | No, our annual gross receipts are less than $50,000 (and usually less than $5,000) |
2 | Have your annual gross receipts exceeded $50,000 in any of the past 3 years? | No |
3 | Do you have total assets in excess of $250,000? | No. The land has been conveyed for the purpose of a Public Park, making its effective value zero. We have no other assets. |
4 | Were you formed under the laws of a foreign country (United States territories and possessions are not considered foreign countries)? | No |
5 | Is your mailing address in a foreign country (United States territories and possessions are not considered foreign countries)? | No |
6 | Are you a successor to, or controlled by, an entity suspended under section 501(p) (suspension of tax-exempt status of terrorist organizations)? | No |
7 | Are you a limited liability company (LLC)? | No |
8 | Are you a successor to a for-profit entity? | No |
9 | Were you previously revoked or are you a successor to a previously revoked organization (other than an organization the tax-exempt status of which was automatically revoked for failure to file a Form 990-series return for three consecutive years)? | No |
10 | Are you a church or a convention or association of churches described in section 170(b)(1)(A)(i)? | No |
11 | Are you a school, college, or university described in section 170(b)(1)(A)(ii)? | No |
12 | Are you a hospital or medical research organization described in section 170(b)(1) (A)(iii) or a hospital organization described in section 501(r)(2)(A)(i)? | No |
13 | Are you applying for exemption as a cooperative hospital service organization under section 501(e)? | No |
14 | Are you applying for exemption as a cooperative service organization of operating educational organizations under section 501(f)? | No |
15 | Are you applying for exemption as a qualified charitable risk pool under section 501(n)? | No |
16 | Are you requesting classification as a supporting organization under section 509(a)(3)? | No |
17 | Is a substantial purpose of your activities to provide assistance to individuals through credit counseling activities such as budgeting, personal finance, financial literacy, mortgage foreclosure assistance, or other consumer credit areas? | No |
18 | Do you or will you invest 5% or more of your total assets in securities or funds that are not publicly traded? | No |
19 | Do you participate, or intend to participate, in partnerships (including entities treated as partnerships for federal tax purposes) in which you share profits and losses with partners other than section 501(c)(3) organizations? | No |
20 | Do you sell, or intend to sell carbon credits or carbon offsets? | No |
21 | Are you a Health Maintenance Organization (HMO)? | No |
22 | Are you an Accountable Care Organization (ACO), or do you engage in or intend to engage in ACO activities? | No |
23 | Do you maintain or intend to maintain one or more donor advised funds? | No |
24 | Are you organized and operated exclusively for testing for public safety and requesting a foundation classification under section 509(a)(4)? | No |
25 | Are you requesting classification as a private operating foundation? | No |
26 | Are you applying for retroactive reinstatement of exemption under section 5 or 6 of Rev. Proc. 2014-11, after being automatically revoked? | No |