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Veracity Score Intake

Organization Name

Employer Identification Number (Row D)

Tax Year Beginning (Row A)

Tax Year Ending (Row A)

Tax-Exempt Status (Row I)

Form of Organization (Row K)

990 Summary Page

990 Form Year

Contributions & Grants (Line 8, Current Year)

Total Revenue (Line 12, Current Year)

Total Expenses (Line 18, Current Year)

Total Assets (Line 20, End of Year)

Total Liabilities (Line 21, End of Year)

Total Fundraising Expenses (Line 16b)

Additional Information

Government Grants (Part VIII, Statement of Revenue, Line 1e)

Total Administrative Expenses (Part IX, Line 25, Column C)

Cash & Equivalent (Part X, Balance Sheet, Line 1, Column (B) End of Year)

Cash & Equivalent (Part X, Balance Sheet, Line 2, Column (B) End of Year)

Unrestricted Net Assets (Part X, Balance Sheet, Line 27, Column (B) End of Year)

Peer Comparisons

What is your nonprofits primary NTEE code?

What three nonprofits do you want to be compared to?