Organization name: __________________________ |
Corp number/CA SOS file number: |
Schedule 1
Section A R&TC Section 23701a – Labor, agricultural, or horticultural organization
1 Are any services to be performed for members? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. . .□. Yes. . . . □. . No If “Yes,” explain .
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Is the organization formed as a cooperative? |
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If “Yes,” provide a copy of the federal exemption letter showing exemption under IRC Section 501(c)(5) |
2 □Yes □No |
Section B R&TC Section 23701b – Fraternal societies, orders, or associations, etc. (Lodge system with benefits)
Operating under the lodge system means carrying on activities under a form of organization that comprises local branches called lodges, chapters, or the like, that are largely self-governing and chartered by a parent organization .
1 Is the organization a college fraternity or sorority or a chapter of a college fraternity or sorority? . . . . . . . . . . . . . . . . . . . . . . . 1 □Yes □No
If “Yes,” college fraternities and sororities generally qualify as organizations described in R&TC Section 23701g .
For more information, get FTB Pub 1077, Guidelines for Social and Recreational Organizations . If R&TC Section 23701g appears to apply, do not complete Section B . Go to Section G on Schedule 3, Social and recreational organization .
2Does the organization operate, or plan to operate under the lodge system or for the exclusive benefit of the members of
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the lodge system? |
. . . . . 2 |
□Yes |
□No |
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3 |
Is the organization a subordinate of a national or state level organization? |
. . . . 3. |
. □. .Yes. . |
. □. No |
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If “Yes,” attach a certificate signed by the secretary of the parent organization certifying that the subordinate is a duly |
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constituted body operating under the jurisdiction of the parent body. |
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4 |
Is the organization a parent or grand lodge? |
. . . . . 4 |
□Yes |
□No |
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5Describe the types of benefits (life, sick, accident, or other benefits) paid, or to be paid, to members .
Section L R&TC Section 23701l – Fraternal beneficiary societies, orders, or associations, etc. (Lodge system with no benefits)
Operating under the lodge system means carrying on activities under a form of organization that comprises local branches (called lodges, chapters, or the like) that are largely self-governing and chartered by a parent organization .
1 Is the organization a college fraternity or sorority, or a chapter of a college fraternity or sorority? . . . . . . . . . . . . . . . 1. . □. .Yes. . . □No
If “Yes,” college fraternities and sororities generally qualify as organizations described in R&TC Section 23701g .
For more information, get FTB Pub 1077, Guidelines for Social and Recreational Organizations . If R&TC Section 23701g appears to apply, do not complete Section L . Go to Section G on Schedule 3, Social and recreational organization .
2Does the organization operate or plan to operate under the lodge system or for the exclusive benefit of the members of
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a lodge system? |
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.□. .Yes. . . |
□No |
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3 |
Is the organization a subordinate of a national or state level organization? |
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. □. .Yes. . . □. No |
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4 |
Is the organization a parent or grand lodge? |
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□Yes |
□No |