9-Attachment B - Organization Information.docx
DOCX document 32 KB Posted
- Solicitation number
- BEZ25-00028243
- Issued by
- Dallas County, Texas
About this file
This document is an Attachment B - Organization Information form from the City of Dallas, specifically designed for a non-profit organization seeking to participate in a contract opportunity related to addressing human trafficking. The form requires detailed organizational information, including legal name, contact details, organizational structure, and federal tax identification number. Applicants must provide additional attachments such as Articles of Incorporation, By-Laws, IRS tax-exempt status letter, and recent board meeting minutes.
The contract opportunity is focused on economically empowering survivors of human trafficking, targeting 501(c)(3) non-profit organizations in Texas. The form includes a certification section where the authorized representative affirms the organization's ability to comply with insurance and indemnification requirements and verifies the accuracy of the submitted information. The document was originally issued on 2/28/19 and was most recently revised on 5/19/2023, indicating an ongoing or updated solicitation process for organizations interested in supporting human trafficking survivors through economic empowerment initiatives.
View the file
Other files
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
City of Dallas Attachment B
ORGANIZATION INFORMATION
1. Legal Name of Organization:
Mailing Address (if different from physical address):
CONTACT PERSON: PHONE:
TITLE: UEI (Unique Entity Identifier) #:
E-Mail: City of Dallas Vendor #:
2. PROGRAM TITLE:
3. APPLICANT’S ORGANIZATIONAL STRUCTURE: (Check applicable box)
|_| Public Agency |_| Private, Non-profit |_| Private, For-profit |_| Partnership or Joint Venture |_| Other:
Organization Federal Tax ID Number:
4. AGENCY APPROVAL: By signing below, Organization certifies that Organization has read the entire specifications and provided true and correct information in the Organization’s submission. Additionally, Organization certifies that the agency will be able and willing to comply with the insurance and indemnification requirements set out in the specifications, if selected. The signer of this form certifies that he/she is authorized to bind the Organization.
Signature of Authorized Individual
Typed Name and Title of Authorized Individual
Date
ATTACHMENTS
5. Articles of Incorporation
6. By-Laws
7. IRS letter of tax-exempt status (non-profits only)
8. Most recent Board meetings minutes
Issue Date: 2/28/19 Rev 5/19/2023
File details come from the government source that posted it. Updated .