Fillable VETERANS DAY NATIONAL COMMITTEE (U.S. Department of Veterans Affairs)

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VETERANS DAY NATIONAL COMMITTEE (U.S. Department of Veterans Affairs)

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VETERANS DAY NATIONAL COMMITTEE
DEPARTMENT OF VETERANS AFFAIRS
OFFICE OF PUBLIC AND INTERGOVERNMENTAL AFFAIRS
ATTN: VETERANS DAY COORDINATOR (002D)
810 VERMONT AVENUE, NW
WASHINGTON, DC 20420
ASSOCIATE MEMBERSHIP APPLICATION
DATE
SUBMITTED
1. ORGANIZATION 2. ADDRESS (Include City, State and Zip Code)
3. TELEPHONE NUMBER 4. FAX NUMBER 5. EMAIL ADDRESS
6. WEB PAGE ADDRESS 7. CURRENT NATIONAL PRESIDING OFFICER
8. WHAT IS THE MAIN PURPOSE OF YOUR ORGANIZATION
9. WHY DO YOU WISH TO JOIN THE VETERANS DAY NATIONAL COMMITTEE (VDNC)
10. WHAT IS THE SIZE OF
YOUR MEMBERSHIP
11. WHAT PERCENTAGE OF YOUR
MEMBERSHIP CONSISTS OF
VETERANS
12. MEMBERSHIP QUALIFICATIONS
13. DATE FOUNDED 14. NUMBER OF ACTIVE
CHAPTERS
15. NUMBER OF STATES WITH
ACTIVE CHAPTERS
16. DO YOU HAVE NATIONAL BY-LAWS OR A
CONSTITUTION (If yes, please attach a copy)
YES
NO
17. DO YOU HAVE AN ANNUAL NATIONAL CONVENTION (If yes, please
attach a program from your most recent convention)
YES NO
18. DO YOU PRODUCE ANY PERIODIC PUBLICATIONS (If yes,
please include the last three issues with your application)
YES NO
19. NAME OF PUBLICATION
20. FREQUENCY OF
PUBLICATION
21. DATE OF FIRST ISSUE
VA FORM
DEC 2019
0918e
22. IS YOUR ORGANIZATION FEDERALLY CHARTERED AND/OR RECOGNIZED OR APPROVED BY THE SECRETARY OF VETERANS AFFAIRS FOR
PURPOSES OF PREPARATION, PRESENTATION, AND PROSECUTION OF CLAIMS UNDER LAWS ADMINISTERED BY THE DEPARTMENT OF
VETERANS AFFAIRS, AS PROVIDED IN SECTION 5902 (FORMERLY SECTION 3402) OF TITLE 38, UNITED STATES CODE (U.S.C.) AND
SUBSECTION 14.628 (a) AND (c) OF TITLE 38, CODE OF FEDERAL REGULATIONS (C.F.R.)
YES NO
IF YES, WHAT IS YOUR CHARTER'S
PUBLIC LAW NUMBER
ON WHAT DATE WERE YOU
CHARTERED BY CONGRESS
23. IS YOUR ORGANIZATION CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS NON-PROFIT
(If yes, please include evidence of non-profit status, e.g., letter of determination)
YES NO
24. IF ACCEPTED AS AN ASSOCIATE MEMBER/MEMBER, WILL YOUR ORGANIZATION HONOR ALL
VETERANS DAY NATIONAL COMMITTEE ASSOCIATE MEMBER/MEMBER ORGANIZATION
RESPONSIBILITIES AS DESCRIBED IN THE COMMITTEE'S BY-LAWS
YES NO
25. DO YOU HAVE A REPRESENTATIVE WHO WILL ATTEND COMMITTEE MEETINGS IN
WASHINGTON, DC
YES NO
REPRESENTATIVE NAME AND ADDRESS
TELEPHONE NUMBER
EMAIL ADDRESS
APPLICANTS SHOULD SUBMIT SUPPORTING DOCUMENTATION TO ENABLE THE COMMITTEE TO MAKE AN INFORMED DECISION
SIGNATURE (Ink signature)
TITLE
DATE
PLEASE SEND THIS APPLICATION VIA EMAIL: vetsday@va.gov
SUSPENSE FOR APPLICATIONS IS APRIL 15, 2020
VA FORM
DEC 2019
0918e
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VETERANS DAY NATIONAL COMMITTEE (U.S. Department of Veterans Affairs)

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Completed 2 August 2020

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