Date Part 6: CERTIFICATION OF NONPROFIT ELIGIBILITY Agencies that fit the following description are eligible to apply: A secular or religious organization described in Section 501c of the internal revenue code of 1954 which, a) is exempt from taxation under Subtitle A of the code; b) has an accounting system and a voluntary board; and c) practices nondiscrimination in the provision of assistance. In compliance with Title 26 U.S.C., subchapter F, tax exempt organizations, agency must supply a copy of its tax-exempt organization certification -- Internal Revenue Code 501c(3) with this application. I hereby certify that this agency, Name of Agency is in compliance with the above. Type Name of President of of Directors/Trustees Signature of President of Board of Directors/Trustees Date Agency’s Tax Exempt Number Part 7: ACCOUNTING SYSTEM As the Financial Officer of
Date Part 6: CERTIFICATION OF NONPROFIT ELIGIBILITY Agencies that fit the following description are eligible to apply: A secular or religious organization described in Section 501c of the internal revenue code of 1954 which, a) is exempt from taxation under Subtitle A of the code; b) has an accounting system and a voluntary board; and c) practices nondiscrimination in the provision of assistance. In compliance with Title 26 U.S.C., subchapter F, tax exempt organizations, agency must supply a copy of its tax-exempt organization certification -- Internal Revenue Code 501c(3) with this application. I hereby certify that this agency, Name of Agency is in compliance with the above. Type Name of President of of Directors/Trustees Signature of President of Board of Directors/Trustees Date Agency’s Tax Exempt Number Part 7: ACCOUNTING SYSTEM As the Financial Officer of
RFP_Public_Services_2018_Application.docx