"*" indicates required fields Step 1 of 4 25% Welcome – 990 Extension Request (Estimated time of completion is 5 minutes)Thank you for being part of the BryteBridge Family! Please complete to request extension of your 990 with the IRS. Once Completed, we will submit an extension on your behalf. Point of Contact InformationPlease provide the information for the person who we will be primarily contacting for the completion of this service. Name* First Last Title/Role in OrganizationPlease tell us which best describes your role to the organization.Please select a titleCEOCOOCFOExecutive DirectorPresidentVice PresidentSecretaryTreasurerDirectorOfficerBoard MemberAdminOther (Please Specify)Please your enter title/role*If you selected other above Phone*Email* Point of Contact AddressAddress of point of contact completing the intake questionnaire. If this is the same address that will be used as the physical or mailing address for the company you will be able to apply to future questions throughout the questionnaire. Street Address Address Line 2 City State 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 ZIP Code Organization InformationWhat is the Name of your Organization?*Legal name of corporation, not doing business as name if using alternate names. What is you Organization's EIN Number?*An employer identification number (EIN) is a nine-digit number assigned by the IRS. What Month does your Fiscal Year End?*The most common fiscal year-end is December. A fiscal year is the period used for calculating annual (“yearly”) financial statements in businesses and other organizations. JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberCompany website addressKnowing your website often allows us to get answers we need to fulfill your order. Additionally, having a professional website is a key to driving successful donations. If you do not have a website we have a team that specialize in building websites for nonprofits. Lets us know if we can help build a website for your organization. Is the organizations address the same as the primary point of contact above?IRS and states want to know the address that you conduct business out of. This can be a residence, an actual business, or if you use a third-party provider like a virtual office or mail service. Even if you are a virtual business, the states want an address to be on file. Yes No Organization Mailing Address*This is generally public record. States and IRS want to know the address that you conduct business out of. This can be a residence, an actual business, or if you use a third-party provider like a virtual office or mail service. Even if you are a virtual business, the states want an address to be on file. Street Address Address Line 2 City State 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 ZIP Code Is your organization's primary email and phone the same as the point of contact? Yes; I want to use my Point of Contact information for my organization No; The organization has its own primary email and phone. My organization does not have a primary email and phone. Organization EmailCommon examples are [email protected] or [email protected] Organization PhoneThis could be the mainline or home office number Is the Point of Contact the Principal Officer? (Principal Officer is who will sign the 990 Filing)A principal officer, is a person who has ultimate responsibility for implementing the decisions of the organization’s governing body, or for supervising the management, administration, or operation of the organization. Yes No Who is the principal officer responsible for your organization?*A principal officer, is a person who has ultimate responsibility for implementing the decisions of the organization’s governing body, or for supervising the management, administration, or operation of the organization. First Last Is the Principal Officer's address the same as the organization? Yes; The organization address will be used for the Principal Officer. No; The Principal Officer has their own address. Principal Officer Address* Street Address Address Line 2 City State 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 ZIP Code Terms and ConditionsBy checking the box below, you agree to BryteBridge Consulting terms of service & privacy policy as outlined at brytebridge.com/terms-of-service.*You can read our terms and conditions here. I agree to the following:– I agree to Product Terms – I agree to General/Payment & Email Terms – I agree to Revision & Cancellation Policy – I understand that filing fees (if applicable) ARE NOT included in any order. – I certify that I am the cardholder and authorized to make this decision on behalf of the stated company. I will assume financial responsibility for the payment of services ordered. – I hereby confirm my order and have read and agreed to the stated service terms and conditions, I also understand that this electronic signature will be given the same legal effect as written and signed paper communications, in compliance with the: Electronic Signatures in Global and National Commerce Act. – I also agree to receive a weekly Marketing Email. I agree EmailThis field is for validation purposes and should be left unchanged.
