Sec. 2.
(a) Not later
than sixty (60) business days before conducting an allowable activity under IC
4-32.3-4-4, an organization not yet determined to be a qualified organization
must provide to the commission facts sufficient for the commission to make a
determination that the organization is a qualified organization as defined in
IC 4-32.3-2-31. The information must be submitted on a form prescribed by the
commission and must include the following information:
(1) The organization's legal name, doing
business as or "d/b/a" name, physical address, mailing address, daytime
telephone number, and email address.
(2) The organization's federal taxpayer
identification number.
(3) The
organization's primary contact person's name, telephone number, and email
address.
(4) The date of the
organization's formation and current number of members.
(5) A letter from the Internal Revenue
Service stating that the organization is exempt from taxation under Section 501
of the Internal Revenue Code.
(6)
Proof that the organization is a bona fide charitable organization.
(7) Proof that the organization is a bona
fide political organization, if applicable.
(8) Proof that the organization is a hospital
licensed under IC 16-21, a health facility licensed under IC 16-28, or a
psychiatric facility licensed under IC 12-25, if applicable.
(9) A copy of the organization's bylaws,
constitution, charter, and articles of incorporation, if applicable, showing:
(A) the purpose or mission of the
organization;
(B) the titles of the
officeholders and their corresponding duties;
(C) the membership requirements of the
organization, including classes of members or voting rights, if any; and (D) a
dissolution clause showing that upon dissolution, the remaining assets of the
organization shall be used for nonprofit purposes that will support or advance
the purpose or mission of the organization.
(10) The name, complete address, and federal
taxpayer identification number of the national or Indiana parent organization,
if applicable.
(11) The name, home
address, title, date of term expiration, and home telephone number of current
officers.
(12) A sworn statement
signed by the presiding officer and secretary of the organization attesting to
the truth of the contents of the application, including the nonprofit character
of the organization.
(b)
Upon receipt and verification of the information required in subsection (a),
the commission shall issue a notice to the organization that the organization
is a qualified organization as defined in IC 4-32.3-2-31.
