Arizona Gives
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Inquiry for Inclusion in Arizona Gives

All required fields must be completed in order to save or submit information.

Point of Contact

Please enter the name and contact information for the person responsible for your profile. This person will receive communication about Arizona Gives, including confirmation of your organization’s ability to participate. Additional points of contact can be added once your inquiry has been Approved.

* Primary Contact First Name
* Primary Contact Last Name
* Primary Contact EmailPlease Note: Use of 'generic' emails such as admin@, support@ coordinator@, etc. may result in Arizona Gives informational emails being blocked from receipt or marked as spam.
* Primary Contact Title
* Primary Phone Number
Extension
Organization
* Organization NameTo Appear on Leaderboard/Prize Listings
* EIN (Federal Tax ID Number)
* Address 1
Address 2
* City
* State
* County (Based on physical address/local headquarters. You will be prompted to select your  service areas by County once your Inquiry to participate has been approved.) SELECT from dropdown
* Zip Code
* IRS Letter of Determination(5MB max size)
No file is currently uploaded.
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* Please select one category that best describes your organization's mission
Please select additional categories you may serve.You may select up to 10
* Demographic/Population Focus: If your organization has a specific focus on OR you have a specific program that focuses on one of the following demographic area(s) or population(s), please select all that apply.
Organizational Details
* Staff Size/Full-Time EmployeesSELECT from dropdown
* How did you hear about us?
Other (please specify)
My organization participated in Arizona Gives prior to 2017
Payment Information for ACH Electronic Transfer
Funds raised on the Arizona Gives website will be sent electronically on a monthly basis. The following information is needed to process the electronic transfer of funds to your organization after monthly reconciliation of your donations have taken place.

* Routing Number
* Bank Account NumberThis must be a bank checking account number not an ACH number.
Finance Contact
* First Name
* Last Name
* Title
* EmailPlease Note: Use of 'generic' emails such as admin@, support@ coordinator@, etc. may result in Arizona Gives informational emails being blocked from receipt or marked as spam.
* Phone
My organization is fiscally-sponsored?
If yes, who are you fiscally-sponsored by
* Annual RevenuePlease answer using Total Revenue, Form 990 (Line 12) or Form 990-EZ (Line 9) from the most current year reported, no later than 2016. If a 990 was not completed due to operating size, then your organization's operating budget (income) must be used.
* Most Current Completed 990/FinancialsFile size 5MB max
Please upload your most current year of completed financials- Form 990 or Form 990-EZ. If neither was completed, then upload your organization's operating budget (income/expenses). Financial information will be required to register and each year thereafter to verify operation and annual revenue of the organization.
No file is currently uploaded.
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Acknowledgements and Disclaimers

Click here to download and read through the Terms and Liability

* I have read and agree to the Terms and Liability.
* I certify that my organization provides services within the state of Arizona.
* I certify that the applicant organization is registered with the U.S. Department of Treasury, Section 501(c)(3), Internal Revenue Code, and has a current tax-exempt status OR my organization is fiscally-sponsored by an organization that meets these requirements listed.