Online Annual Club Charter Renewal Form

This form is the same as the one in your renewal packet. You may submit this form instead of using the mail-in copy. Fill in all the information and push submit.
This must be sent in even if there are no changes in your information. 

In order to keep your club charter active, it is necessary for you to submit this renewal form OR the paper copy to the NAME office by July 1 of 2010.  NAME must have updated information in order to comply with the regulations stated in our letter of determination for 501 c-3 status with the IRS.  (Our Association is required to provide an updated list of club presidents with names and addresses each year to the IRS.) Once this is received and if there are no changes to your roster, this will complete the charter renewal. Simply check the appropriate space below if the information is the same. If yes was marked for changes to roster, Kim will email you a roster to update. Once that roster has been updated, the charter renewal will be complete 

The other information requested is needed to keep our records accurate in order to provide necessary services and information to you and to potential new club members (if your membership is open.) 

Name of Club Charter No.
Region State

Name of Club President/Chairman
Street
City State Zip
Phone Number E-mail address

Contact Person if other than Club President (This person will receive all paperwork and information
regarding the club and its charter.)
Contact's Name
Street
City State Zip
Phone Number E-mail address

Meeting Time:
Day of the week 
Meeting Place
Membership Open

Was there a Change in Officers?  
(If there is a change in officers, please fill in the information for NEW officers)

Is the President listed above new?

New Vice President Information:
Vice President's Name
Street:
City State Zip
Phone Number E-mail address

New Secretary Information:
Secretary's Name
Street
City State Zip
Phone Number E-mail address

New Treasurer's Information:
Treasurer's Name
Street
City State Zip
Phone Number E-mail address

Was there a Change in the Membership roster?
If you have changes, please make those to the roster that Kim will email you.

Name of person submitting this report
Street
City State Zip
Phone Number E-mail address