City of Raleigh Federation Application City of Raleigh Giving Campaign Application Federation Name(Required)Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Person's Name(Required) First Last Contact Person's Email(Required) How Many Agencies are you applying on behalf of?(Required)Federation Certification(Required)In completing this application, a federation should provide all information and documentation requested as it applies to itself. It is not necessary to provide documentation on each individual member agency. However, by making application a federation certifies that: 1. It has on file the appropriate information and documentation on each of its member agencies; 2. Individual member agencies meet all of the criteria for this campaign. In instances where an individual member agency does not meet a specific criterion, the federation must make full disclosure of this fact on an attachment and provide appropriate explanation. I certify the statement above is trueUpload a copy of you organization's 501(c)(3) IRS tax-exempt letter(Required)Max. file size: 50 MB.Upload A Current North Carolina Solicitation License(Required)Max. file size: 50 MB.Exempt agencies, please provide reason for solicitation license exemptionIf your organization is not required to have a solicitation license provide the reason in the space belowUpload your Current Board of Directors List with mailing address for each Board member(Required)Max. file size: 50 MB.Upload Most Recent Audit Performed by an independent CPA(Required)If an organization has a yearly annual budget under $100,000 it is exempt from this requirement. All other organizations must have audited financial statements prepared.Max. file size: 50 MB.Upload your organization's most recent IRS Form 990(Required)Max. file size: 50 MB.What percent is your organization's FRA expense based on the 990 you submitted?(Required)FRA is your combined fundraising and administrative expenses, which can be calculated from your IRS Form 990High FRA% ExplanationPlease provide a brief explanation for why your FRA% exceeded 25% and what organizational steps you are currently taking to lower it.Max. file size: 50 MB.Federation Member Descriptions(Required)Please upload the spreadsheet provided with the application materials (file name – “Federation Member Details”) that includes your and all member agency names and accompanying information includedMax. file size: 50 MB.Application Certifications(Required)Choose click all boxes that apply for your organization Agency has a 501(c)(3) exemption from the US Internal Revenue Service and is also tax-exempted by the State of North Carolina The Federation and any member agencies have provided benefits or services to citizens of Raleigh or Wake County for two years Board of Directors meets regularly and directs the agency Elected members of the Board of Directors do not receive compensation for service All publicity and promotional activities are truthful and non-deceptive Contributor lists are maintained in confidence and are not shared with others, unless specifically requested by the donor No commissions, kickbacks, finder’s fees, percentages or bonuses are paid to individuals for fundraising Agency has policies that prohibit discrimination against individuals seeking services on the basis of race, color, religion, sex, age, sexual orientation, national origin, and physical or mental disability What type of services does your agency provide to the citizens of Raleigh and/or Wake County?(Required) My agency provides services that offer a direct benefit to Raleigh and/or Wake County citizens. These services are obtainable by residents within reasonable commuting distances. My agency provides indirect services, benefits to the citizens of Raleigh and/or Wake County Upload a description of the demonstrated impact of indirect servicesPlease provide documentation of any and all individual services that offer indirect benefits to Raleigh and/or Wake County citiziensMax. file size: 50 MB.Do all of your member agencies you are applying on behalf of meet the criterion this application lays out?(Required) Yes No Upload Disclosure and Explanation of members not meeting application criteriaUpload a document that discloses each member not meeting criteria as well as itemizing the criteria they do not meet as well as an explanation as to why they fail to meet themMax. file size: 50 MB.Signup for ACH Donation DisbursementsWe are making an effort to streamline and expedite payments to organizations. It is not required, but providing your ACH payment information using the link below will ensure we get payments to you more quickly. If you previously sent this info, you do not need to submit again. https://earthsharenc.org/wp-content/uploads/2023/08/ach-request-form-all-campaigns.docxMax. file size: 50 MB.2022 Acknowledgment PolicyFederations and Independent agencies are responsible for sending thank you letters to all donors. Federations may send letters on behalf of their agencies or choose to have the letters come directly from the recipient agencies. Failure to send thank you notes may affect participation in future campaigns.