NAVSO Member Profile Form
Thank you for your membership with NAVSO. One of the greatest opportunities we have is highlighting your organization and your impacts to funders interested in making smart investments in causes focused on veterans and military families. By keeping your organization's information up-to-date, you'll have greater opportunity to receive funding when opportunities arise. At a minimum, we ask organizations to update this information every 6 months. This form should take no more than 15 minutes to complete. Please note this information will be used by the National Association of Veteran-Serving Organizations. This information will not be shared publicly but may be shared with interested funders. When filling out this form you are authorizing NAVSO to spotlight your organizations to potential funders.
Basic Organization Information
1. Organization Name *
Your answer
2. Business Address Line 1 *
Your answer
3. Business Address Line 2
(if any)
Your answer
4. City *
Your answer
5. State *
Your answer
6. Zip Code *
Your answer
Mission, Programs and Outcomes
7. Your mission statement *
Your answer
8. Areas of focus for veterans or military families *
(please select all that apply)
Required
9. Please describe the program(s) or service(s) you offer for veterans or military families. Include a description of the program, the number of clients served and the outcomes achieved or anticipated. If you offer many services, please list the top 3 services. *
Your answer
10. Please describe the strongest program or service outcomes from your most recent fiscal year. (For example, "of the 1,000 job-seeking veterans we served last year 90% remain in their new career after 12 months"). *
Your answer
11. Do you have any ratings with organizations lie GuideStar, Charity Navigator, Better Business Bureau, etc? If so, please list them or provide links here. *
Your answer
Registration, Financials and Compliance
12. Federal Tax ID (EIN) *
Your answer
13. State of Incorporation *
Your answer
14. Date of Incorporation *
(as it appears on file with your State)
MM
/
DD
/
YYYY
15. Is your organization recognized by the IRS as an approved tax-exempt organization? *
(i.e., 501c3)
16. If recognized by the IRS, please list the date of your Letter of Determination. If submitted, please list the date of your IRS acknowledgement letter.
(if not yet filed or recognized, skip this question)
MM
/
DD
/
YYYY
17. Is your organization registered to solicit charitable donations in your State of incorporation? *
(commonly known as Charitable Solicitation Registration (CSR))
18. Did you file a tax return last year? *
19. If you've completed a tax year, please list last year's total revenue *
(if not, please enter "0")
Your answer
20. If you've completed a tax year, please list last year's total expenses *
(if not, please enter "0")
Your answer
21. If you've completed a tax year, please list last year's total assets *
(if not, please enter "0")
Your answer
22. If you've completed a tax year, please list last year's total liabilities *
(if not, please enter "0")
Your answer
23. Number of full-time employees *
Your answer
24. Number of part-time employees *
Your answer
25. Number of volunteers *
Your answer
26. Total number of board members *
Your answer
27. Is the number of board members in compliance with the Articles of Incorporation or Bylaws? *
28. Are board meetings held at least two (2) times per year? *
29. Are written minutes of board meetings kept? *
30. Does the board approve compensation of the organization's Executive Director or CEO using a documented compensation determination policy? *
31. Has the board of directors discussed the unsatisfactory performance of any key management personnel in the last twelve (12) months? *
32. Are any of your Board Directors also Officers/Staff? *
33. Has the organization or any of its leaders been involved in any grievance or other administrative proceedings before any agencies in the last two (2) years? *
Comments
Please add any comments to your responses above as needed. When writing a comment, please associate your comment with the appropriate question number (i.e. "#33 - The Board Chair is also the President"
Your answer
Contact Information
34. Name of Organization POC providing this information *
Your answer
35. POC Phone Number (XXX-XXX-XXXX) *
(in case we need to reach you for questions)
Your answer
36. POC Email Address *
(in case we need to contact you to confirm any information you've shared)
Your answer
Digital Information
Website URL
Your answer
Your answer
Your answer
By submitting this information, I acknowledge the information provided will be used by the National Association of Veteran-Serving Organizations to highlight my organization to potential funders. This information will not be shared publicly. When filling out this form you are authorizing NAVSO to spotlight your organizations to potential funders.
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