Organization Application

Please answer the following questions so KCVLAA can determine: (1) if you have a legal or accounting problem; (2) if that problem is arts-related; and (3) if your organization falls within our budget guidelines.

We have attempted to keep this application brief and uncomplicated. While we do not require information regarding your artistic activities, including your news releases, brochures, or lists of exhibits and performances, this information may assist our referral process and are welcome. All information submitted is kept confidential. When a referral is made, however, a copy of this application will be forwarded to the volunteer who agrees to handle your case. KCVLAA is not staffed to provide emergency legal or accounting assistance. Please be prepared to wait two to four weeks for your application to be processed.

KCVLAA does not charge for professional services. Once a referral has been made, however, clients are responsible for filing and other fees. KCVLAA does not ask its volunteers to litigate matters. Volunteers will, however, try to negotiate a solution on your behalf and/or advise you on the merits of resolving your dispute through mediation or in small claims court.

What type of organization is applying?

Nonprofit Organization

Partnership

For Profit Corporation

Other

Organization Details

Tell us more about your organization so we can understand whether to handle you as a Nonprofit, Partnership, or For Profit Corporation

Please select your organization type above to learn about our income limits and other requirements.

Nonprofit Organizations: If your organization files IRS Form 900 “Return of Organization Exempt From Income Tax”, a copy of that form must be submitted and Total Revenue shown on that form must be below $250,000.

If your organization is not required to file IRS Form 990, its annual operating budget must be below $250,000 and you must submit a current budget.

Partnerships: The combined Adjusted Gross Income of each partner and their spouses, if any, may not exceed 250% of US Poverty Guidelines. The partnership must submit its partnership return and each partner must submit their individual Federal Income Tax Returns under that same rules as specified above for Individuals.

For Profit Corporations: If your corporation is a subchapter S corporation and files IRS Form 1120S “U.S. Income Tax Return for an S Corporation”, a copy of that form must be submitted and Total Income shown on that form must be below $50,000. Additionally, the combined Adjusted Gross Income of each owner and their spouses, if any, may not exceed 250% of US Poverty Guidelines. Each owner must submit their individual Federal Income Tax Returns under the same rules specified above for individuals.

If your corporation is NOT a subchapter S corporation and files IRS Form 1120 “U.S. Corporation Income Tax Return”, a copy of that form must be submitted and Total Income shown on that form must be below $50,000.

Contact Person

Organization Name

Address

Street Address Address Line 2 City State ZIP Code

Work Phone

Alternate Phone

Date of Birth*

MM slash DD slash YYYY

Gender*

Race/Ethnicity*

**This information is collected for demographic purposes only and will be kept confidential and anonymous and will only be used in the aggregate.

Is your organization incorporated as a nonprofit?

Yes

Has your organization been granted tax-exempt status by the IRS?

Yes

What is your organization’s artistic discipline?

Crafts

Dance

Ethnic/Folk

Film/Video/Media

Literature

Theater

Multi-Discipline

Visual/Commercial

Visual/Fine

Community Arts Council

Music

Other

If you selected "Other" above, please enter additional details:

What is your legal or accounting problem? Please be specific. This information helps us find the volunteer best qualified to assist you.

What is your organization’s budget for the current year? Please enclose your most recent financial statement and include Schedule C or Form 2106 of principals of partnerships, sole proprietorships or Sub-Chapter S Corporations.

Please provide the name and company of the adverse/other party (if any). If this party’s attorney has contacted you, please provide his/her name, firm, address and phone number.

Have you consulted an attorney or accountant about this problem? If yes, please provide his/her name, firm, address and phone number.

How did you hear about KCVLAA?

I understand that:

KCVLAA can neither guarantee that it will be able to refer my case to a volunteer nor that the representation will be successful. KCVLAA is merely a referral organization.
KCVLAA makes no representation as to the skill of the referral attorney/accountant.
I will be represented by the volunteer or the volunteer’s firm and not by KCVLAA.

I agree:

That in the event litigation or arbitration becomes necessary, I will not oppose my volunteer’s decision to withdraw from representation.
To include the KCVLAA logo in my brochures and other publication for two years after receiving assistance.
To promptly notify KCVLAA if I no longer need the assistance of a volunteer.

Organization Application

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