Venture Church 501(c)3 request for information from our office

Church Name (Legal Name):*

Church EIN #:*

VCN Group Exemption 501(c)3:*

I would like to receive verification of our church's coverage under VCN's 501(c)3 Group Exemption

Church Name (DBA - Doing Business As):

Church Meeting Address: (If different location)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Church Office Phone:*

Church Office Email:*

Church Website / Facebook Page:

Date Church was Started:*

Current Avg. Weekly Sunday Worship Attendance:*

Average over past 5 years:*

Current Avg. Weekly Small Groups Attendance:*

Number of Salvations in Previous Calendar Year :*

Number of Baptisms in Previous Calendar Year:

Total Annual Budget:

Community Setting

• Please select ALL ethnic/language ministries or congregations directly associated with, or part of your church.:

Worship Service Style:

Governance / Church Polity:

Church Planting - Our church.....

Information Given by:

Ministry Position or Role:

Email:

Phone:

Title:

Name:

First Last

Meeting Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Pastor's Email:

Phone:

Phone Number Type:

Spouses Name:

First Last

Spouses Email:

501(c)3 Request for Information