Form Rf-C - Registration For Corporation Page 2
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Charitable Activities Section
Registration #:
Oregon Department of Justice
1515 SW 5th Avenue, Suite 410
VOICE (503) 229-5725
Portland, OR 97201-5451
TTY
(503) 378-5938
Registration for Corporation
E-Mail: charitable.activities@doj.state.or.us
FAX
(503) 229-5120
Web site:
1.
Name
Write the corporation’s legal name.
_________________________________________________________________________________________________________
2.
Contact Information
Mailing Address: ___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
City, State, Zip: ___________________________________________________________________________________________
Phone:
(
)
-
E- Mail:
______________________________________________
Fax:
(
)
-
Web site:
______________________________________________
3.
Employer Identification Number
Write the corporation’s employer identification number assigned by the Internal Revenue Service. If the EIN has not been applied for, write “N/A.”
-
______
4.
Date and State of Incorporation
Write the date the organization incorporated and the state in which the corporation was formed.
_____________________________________
_____________________________________
Date of Incorporation
State of Incorporation
5.
Primary County of Operations
Write the name of the primary Oregon county in which the corporation conducts charitable activities. If the corporation conducts charitable activities
in more than one county in Oregon, list the name of the county in which the most charitable activities are conducted. If charitable activities
are conducted evenly across the state, write the county in which the headquarters of the corporation is located.
_____________________________________
6.
Accounting Period
Write the last month of the corporation’s accounting period:
_____________________________________
7.
Corporation’s Purpose
Describe the charitable purpose of the corporation in one or two sentences. The information is used to describe the corporation in response to
public inquiries.
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
8.
Beneficiaries
If the corporation raises funds or intends to raise funds on behalf of another organization(s), list the name and address of the organization(s).
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Form Continued on Reverse Side
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