Religious Institutions & Charitable Organizations Survey

* marks required fields of data.

Your Contact Information

Place of Worship, (i.e...church, synagogue, mosque) or nonprofit entity: *

Name of Organization: *

Address: *

City: *

State: *

Zip Code: *

Email: *

Telephone

Phone Number *

Phone Type:

What are these options?

Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard audible telephone.

Tax Provision Questions

How many employees and/or volunteers do you currently have within your organization? *

Do you foresee this tax provision impacting your place of worship or organization positively or negatively? If so, how? *

Do you have any additional comments or information regarding the 21 percent tax on churches and other nonprofit entities that you would like to share with the Congressman?

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Religious Institutions & Charitable Organizations Survey

Office Locations

Washington, DC Office

Higginsville District Office

Independence District Office

Kansas City District Office

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