Fillable State Report Questionnaire (City of Oakland)

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State Report Questionnaire (City of Oakland)

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The State Report Questionnaire (City of Oakland) form is 4 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for City of Oakland

BROWSE CITY OF OAKLAND (CA) FORMS

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Thank you for choosing StartCHURCH to complete your State Report! It is our pleasure to serve you in all areas of your
ministry.
The following form will allow us to complete your required State Report. Please pay special attention to each section, and fill
it out to the best of your ability. A few key points to keep in mind:
• Registered Agent This person will receive mail from the state on behalf of the organization. Do NOT use a P.O.
Box! A registered agent is the individual designated to receive legal documents from the state that relate to the
organization. The registered agent for a business entity may be an individual member of the organization. The
registered agent must be a resident of the state of in which your corporation is located. You may choose to hire a
company to serve as the registered agent, however StartCHURCH and its employees are unable to serve as your
registered agent.
• Filing Fee Consent Your state charges a fee to file this report. StartCHURCH will pay this fee through our account
with the state and will, with your approval, charge your account of record with our office for reimbursement. The fee
due to your state will auto populate when you select your state from the drop down list.
• Board of Directors Please list each member of your Board of Directors although your state may not require that each
member’s name be included on the report.
When you have completed the form, you may email or fax it back to us! Our contact information is listed below.
Thank you for allowing us to serve you,
Auxiliary Service Department
StartCHURCH
P: (770) 638-3444
F: (678) 710-9205
E: auxbox@startchurch.com
StartCHURCH Page 1
State Report Questionnaire
The Basics
The Basics
The Basics
The Basics
The Basics
Organization
Name
Main Contact
Primary
Phone
Mailing Address This is the mailing address your state will keep on le. A P.O. Box is OK!
Mailing Address This is the mailing address your state will keep on le. A P.O. Box is OK!
Mailing Address This is the mailing address your state will keep on le. A P.O. Box is OK!
Mailing Address This is the mailing address your state will keep on le. A P.O. Box is OK!
Mailing Address This is the mailing address your state will keep on le. A P.O. Box is OK!
Address
Apartment >>
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Physical Address Do NOT use a P.O. Box!
Physical Address Do NOT use a P.O. Box!
Physical Address Do NOT use a P.O. Box!
Physical Address Do NOT use a P.O. Box!
Physical Address Do NOT use a P.O. Box!
Address
Apartment >>
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Registered Agent This person will receive mail from your state on behalf of the organization. Do NOT use a P.O. Box!
Registered Agent This person will receive mail from your state on behalf of the organization. Do NOT use a P.O. Box!
Registered Agent This person will receive mail from your state on behalf of the organization. Do NOT use a P.O. Box!
Registered Agent This person will receive mail from your state on behalf of the organization. Do NOT use a P.O. Box!
Registered Agent This person will receive mail from your state on behalf of the organization. Do NOT use a P.O. Box!
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
Apartment >>
City
State
Zip >>
Zip >>
Filing Fee Consent
Your state requires fee of to le this report. StartCHURCH will pay this fee through our account with the state and will, with
your approval, charge your account of record with our office for reimbursement.
Please check the appropriate options below. Please note that if neither box is selected, the questionnaire is considered incomplete; we
will be unable to le the necessary reports which could potentially put the organization in bad standing with the state, and/or result in
additional fees required by the state.
Filing Fee Consent
Your state requires fee of to le this report. StartCHURCH will pay this fee through our account with the state and will, with
your approval, charge your account of record with our office for reimbursement.
Please check the appropriate options below. Please note that if neither box is selected, the questionnaire is considered incomplete; we
will be unable to le the necessary reports which could potentially put the organization in bad standing with the state, and/or result in
additional fees required by the state.
Filing Fee Consent
Your state requires fee of to le this report. StartCHURCH will pay this fee through our account with the state and will, with
your approval, charge your account of record with our office for reimbursement.
Please check the appropriate options below. Please note that if neither box is selected, the questionnaire is considered incomplete; we
will be unable to le the necessary reports which could potentially put the organization in bad standing with the state, and/or result in
additional fees required by the state.
Filing Fee Consent
Your state requires fee of to le this report. StartCHURCH will pay this fee through our account with the state and will, with
your approval, charge your account of record with our office for reimbursement.
Please check the appropriate options below. Please note that if neither box is selected, the questionnaire is considered incomplete; we
will be unable to le the necessary reports which could potentially put the organization in bad standing with the state, and/or result in
additional fees required by the state.
Filing Fee Consent
Your state requires fee of to le this report. StartCHURCH will pay this fee through our account with the state and will, with
your approval, charge your account of record with our office for reimbursement.
Please check the appropriate options below. Please note that if neither box is selected, the questionnaire is considered incomplete; we
will be unable to le the necessary reports which could potentially put the organization in bad standing with the state, and/or result in
additional fees required by the state.
I provide my consent for the above charge
I provide my consent for the above charge
I provide my consent for the above charge
I provide my consent for the above charge
I need to provide updated billing information
I need to provide updated billing information
I need to provide updated billing information
I need to provide updated billing information
StartCHURCH Page 1
State Report Questionnaire
Select
Select
The Board of Directors
As you ll out this section, please keep in mind that the majority of your charitable board of directors must remain unrelated for the
entirety of your corporation’s existence. The IRS denes RELATED as persons who are tied to one another through BLOOD, MARRIAGE, or
BUSINESS.
The Board of Directors
As you ll out this section, please keep in mind that the majority of your charitable board of directors must remain unrelated for the
entirety of your corporation’s existence. The IRS denes RELATED as persons who are tied to one another through BLOOD, MARRIAGE, or
BUSINESS.
The Board of Directors
As you ll out this section, please keep in mind that the majority of your charitable board of directors must remain unrelated for the
entirety of your corporation’s existence. The IRS denes RELATED as persons who are tied to one another through BLOOD, MARRIAGE, or
BUSINESS.
The Board of Directors
As you ll out this section, please keep in mind that the majority of your charitable board of directors must remain unrelated for the
entirety of your corporation’s existence. The IRS denes RELATED as persons who are tied to one another through BLOOD, MARRIAGE, or
BUSINESS.
Board President Use Residential Address
Board President Use Residential Address
REQUIRED POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Board Vice President Use Residential Address
Board Vice President Use Residential Address
OPTIONAL POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Board Treasurer Use Residential Address
Board Treasurer Use Residential Address
REQUIRED POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Board Secretary Use Residential Address
Board Secretary Use Residential Address
REQUIRED POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Regular Director Use Residential Address
Regular Director Use Residential Address
OPTIONAL POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Regular Director Use Residential Address
Regular Director Use Residential Address
OPTIONAL POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
StartCHURCH Page 2
The Board of Directors Cont.
The Board of Directors Cont.
The Board of Directors Cont.
The Board of Directors Cont.
Regular Director Use Residential Address
Regular Director Use Residential Address
OPTIONAL POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Regular Director Use Residential Address
Regular Director Use Residential Address
OPTIONAL POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Regular Director Use Residential Address
Regular Director Use Residential Address
OPTIONAL POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Regular Director Use Residential Address
Regular Director Use Residential Address
OPTIONAL POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Regular Director Use Residential Address
Regular Director Use Residential Address
OPTIONAL POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
Regular Director Use Residential Address
Regular Director Use Residential Address
OPTIONAL POSITION
Name of Person
Address
Apartment >>
Apartment >>
Apartment >>
City, State, Zip
StartCHURCH Page 3
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State Report Questionnaire (City of Oakland)

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Completed 9 July 2021

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