Chapter Status Filing

In order for CGJA to maintain current contact information for active chapters as well as assisting CGJA in responding to IRS or state inquiries, all chapters are to complete the Chapter Status Filing Form below annually or whenever a change takes place.

Legal Name of Chapter(Required)

Extracted from Chapter Bylaws

Chapter President Name(Required)

First Last

Chapter President Email Address(Required)

Chapter President Phone Number(Required)

Alternate Primary Contact Name

First Last

Alternate Primary Contact Email Address

Alternate Primary Contact Phone Number

Chapter Postal Mailing Address

Chapter Website Address (if available)

Federal Tax ID (9 digits) (if applicable)

Charitable Trust Number (begins with CT) (if applicable)

State Entity Number (7 digits) (if applicable)

Fiscal or Calendar Year End(Required)

Fiscal

Calendar

Today's Date