Proof of 501(c)(3) Status & Arkansas Charitable Registration

Federal Tax-Exempt Status

[Full Legal Name of Organization] is a nonprofit organization recognized as tax-exempt under Section 501(c)(3) of the Internal Revenue Code.

• Legal Name: ___________________________

• EIN (Employer Identification Number): ___________________________

• IRS Determination Date: ___________________________

• IRS Determination Letter Available Upon Request: ☐ Yes ☐ Attached

Donations to [Organization Name] are tax-deductible to the fullest extent permitted by law.

No goods or services were provided in exchange for contributions unless explicitly stated.

Arkansas Charitable Registration

[Organization Name] is registered (or exempt, if applicable) with the Arkansas Secretary of State as required under the Arkansas Charitable Solicitation Act.

• Arkansas Registration Number: ___________________________

• Registration Effective Date: ___________________________

• Current Status: ☐ Active ☐ Exempt ☐ Pending

A copy of our most recent financial report and registration filed with the Arkansas Secretary of State may be obtained by contacting:

Arkansas Secretary of State
1401 W. Capitol Avenue, Suite 250
Little Rock, AR 72201
Phone: (501) 682-3409
Website: https://www.sos.arkansas.gov

Registration with the State of Arkansas does not imply endorsement, approval, or recommendation by the State.

Financial Transparency

Copies of the following documents are available upon written request:

• IRS Form 990 (most recent filing)

• IRS Determination Letter

• Annual Financial Summary

Requests may be submitted to:

[Organization Name]
[Mailing Address]
Email: ___________________________
Phone: ___________________________