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Corporate Online Form
Corporate Income Tax Credit Application
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Corporation Name
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Company Type:
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C-Corporation
S-Corporation
Insurance Company
NAIC #:
Corporate Street Address
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Corporate Street Address
City
State
Zip Code
Contact Name and Title:
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Phone
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Email
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Corporate EIN
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Name and EIN of parent S corporation if contributing company is a qualified subchapter S subsidiary
Amount the corporation is requesting to donate $
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Release of Information
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Please let us know if you permit us to share information about your contribution.
Yes, you may release our identity and contribution amount.
Yes, you may only release our identity.
We prefer that our participation be kept entirely confidential.
Corporate Partnership Opportunities
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If you would like to partner with the Brophy Community Foundation, help us expand our mission, and give your company brand exposure, please check any of these opportunities.
Check Presentation
Testimonial Quote
Social Media Posts (Facebook, Instagram, LinkedIn)
Event Speaker
Newsletter Story
Engage with our BCF Internship Program
Other (Laura GIesecke will follow up)
None
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