Application for Accreditation for Donee Institution Status

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    APPLICATION FOR ACCREDITATION

    FOR DONEE INSTITUTION

    Pursuant to the provisions of Sections 34(H) and 101(A) of the National

    Internal Revenue Code of 1997, as implemented by Revenue Regulations No. 13-98

    effective January 1, 1999, we hereby apply for accreditation as Donee Institution, and

    certify to the following:

    1. Name of Institution:Sexual Harassment Victims Survival Group

    Foundation_________________

    Address: 2560 Esmeralda St., San Andres Bukid, MetroManila_029077152__________________________________________________________

    Telephone No. ___029077152_____________ Fax No.:___________________________

    2. SEC Registration No. _______________________ Dated: ____________________________

    3. Status of Organization: (please check)

    (x ) Newly Established Years of Existence _______0 yrs______

    ( ) Existing Donee Institution previously registered and allowed limited / full deductibilitydonations for donors under:

    ________________RA 9710________________________________(Please state PD & RA No. or Special Law granting deductibility to donors)

    4. Purposes for which organized;

    [ ] Religious [ ] Athletics / Character Building, Youth[ ] Charitable and Sports Development[ ] Scientific Research [ ] Cultural[ ] Rehabilitation of Veterans [ x ] Social Welfare and Development[ ] Educational [ ] Health[ ] Microfinance

    Actual Activities (Brief Description)

    Counselling for Victims of Sexual Harassment, filed or non filed case victims are all entitled

    to this

    __________________________________________________________________________________________________________________________________________________

    6. Proposed Projects:

    Counselling for Victims of Sexual Harassment, filed or non filed case victims are all entitled

    to this

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    ___________________________________________________________________________

    7. Sources of Income:5.

    2013Donations

    _________________________________________________________________________________________________________________________

    6. Disposition of Income: For the many victims of sexual

    harassment suffer damage to their self-esteem. They often

    feel powerless and may even believe that they share someblame for the harassment. Some victims also feel

    stigmatized; that no one believes them; or that no onethinks what they endured is serious.

    8. Disposition of assets, in the event of dissolution:________________________________________________________________________

    Counselling for Victims of Sexual Harassment, filed or non filed case victims are all entitled

    to this

    ____________________________________________________________________________

    9. Other facts relating to its operations relevant to its qualification as donee institution:

    Counselling for Victims of Sexual Harassment, filed or non filed case victims are all entitled

    to this

    _____________________________________________________________________________________________________________________________

    We declare under the penalties of perjury that the foregoing statements are true and

    correct, and that the institution undertakes to faithfully comply with the provisions of Sections4, 5, and 8(b) of Revenue Regulations No. 13-98 relating to utilization requirements, issuance

    of certificates of donation and substantiation requirements and all other rules and regulations

    governing its operation as a Donee Institution.

    We further declare that no part of our net income inures to the benefit of any private

    individual, and that the level of administrative expenses of our organization does not exceed

    thirty percent (30%) of total expenses for taxable year.

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    _______Anne Sacheen Villacorta-Leano____Applicant

    (Signature over Printed Name)

    ________Founding Officer______Position / Title

    PHILIPPINE COUNCIL FOR NGO CERTIFICATION

    (PCNC)

    QUALIFYING CONDITIONS BEFOREAPPLICATION:

    A. The DONEE INSTITUTION STATUS is granted only to the followingentities:

    2. Non-stock, non-profit domestic corporations or associations organizedunder Philippine laws and operated exclusively for religious, charitable,scientific, youth and sports development, cultural or educational, socialwelfare purposes or for the rehabilitation of veterans;

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    3. Civic League or organization not organized for profit but operatedexclusively for the promotion of social welfare;

    4. Non-stock, non-profit educational institution.5. The organization has been formally operating for at least one (1)year.

    B. A non-stock, non-profit corporation or organization has the followingcharacteristics (BIR Revenue Regulations No. 13-98):

    1. no part of the net income or asset shall belong to or inure to the benefit of anymember, organizer, officer or any specific person;

    2. the members of the Board of Trustees do not receive compensation or remuneration;3. makes utilization of its resources directly for the active conduct of the activities

    constituting the purpose or function for which it is organized and operated;4. the level of administrative expenses on an annual basis does not exceed thirty (30%)

    of the total expenses and of the total donations for the taxable year; and,5. in the event of dissolution, the assets shall be distributed to another accredited NGO

    organized for similar purposes, or the State for public purpose/s, or would be

    distributed by a competent court of justice to another NGO to be used in such manneras in the judgment of said court shall best accomplish the general purpose for whichthe dissolved organization was organized.

    IMPORTANT QUESTIONS FOR THE PROSPECTIVE APPLICANT:

    1. Is your organization one of those mentioned in A? If it is not, yourorganization is not qualified to be certified as a DONEE INSTITUTION andneed not apply for certification.

    2. Does your organization have all the characteristics mentioned in B? If it doesnot, your organization is not qualified to be certified as a DONEE

    INSTITUTION and need not apply for certification.3. Do you get or intend to get local donations and wish your local donors to

    have tax benefits, such as exemption from donor's tax and deductibility ofdonations from taxable income? If not, your organization need not apply forcertification.

    4. Is your organization operating as a microfinance institution? If it is, then itis NOT QUALIFIED to apply for PCNC certification.

    PLEASE READ CAREFULLY

    BEFORE APPLYING !

    7. Application forms/documents should be sent to:

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    The Executive Director Phone #s: 715-9594

    Philippine Council for NGO Certification, Inc. 715-

    2756

    6th Floor, SCC Bldg., CFA - MA Compound 782-1568

    4427 Interior Old Sta Mesa, 1016 Manila Fax #:

    [email protected]

    The applying NGO/Non-Stock, Non-Profit Organization will fill up the following forms (available inthe website:

    a. Letter of I ntentformb. Application for Accreditation as a Donee I nstitutionc. Survey Form

    and pay the down payment ofOne Thousand Pesos (Php 1,000.00).

    The applicant organization will submit to us the following attachments filed in separate

    folders in four (4) copies with the. Each foldermust contain a complete set of r equi red

    documents.

    The Survey Form and the following attachments must be in four (4)copies. PLEASE DO NOT PROCEED with the application unless these

    documents are complete and ready for submission as PCNC shall notaccept if incomplete.

    For NGOs operating

    for two (2) years or more

    For newly established NGOs operating

    for at least one (1) year

    ____1. Brochure (if any)

    ____2. Annual Report or List of Accomplishments

    for the last two (2) years

    ____3. Organizational Chart or Table of

    ____1. Brochure (if any)

    ____2. Organizational Chart or Table

    of Organization

    ____3. List of Activities /Accomplishments for

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    Organization

    ____4.Certified True Copy of SEC Registration

    with Amended Articles of Incorporation &

    By-Laws with*:

    a) The words non-stock, non-profit

    b) Explicit provisions on:

    i. distribution of assets upon dissolution

    (RR 13-98 Sec. 3, 2, iii);

    ii. no part of the property or income shallinure to the benefit of any member,officer, organizer or any individual

    person;

    iii. members of the Board NOT receivingany compensation;

    iv. the level of administrative expenses notexceeding 30% of the total donations

    received and of total expenses for thetaxable year.

    (RR-13-98 Sec 3,2, ii);

    *as required by the Bureau of Internal

    Revenue (BIR)

    ____5. A Statement of Policy on Conflict of Interest

    signed by BOT Chair/President and Corp.

    Secretary (sample available upon request)

    the past year

    ____4.Certified True Copy of SEC Registration

    with Amended Articles of Incorporation &

    By-Laws with*:

    a) The words non-stock, non-profit

    b) Explicit provisions on:

    i. distribution of assets upon dissolution

    (RR 13-98 Sec. 3, 2, iii);

    ii. no part of the property or income shallinure to the benefit of any member,officer, organizer or any individual

    person;

    iii. members of the Board NOT receivingany compensation;

    iv. the level of administrative expenses notexceeding 30% of the total donations

    received and of total expenses for thetaxable year.

    (RR 13-98 Sec 3,2,ii);

    *as required by the Bureau of Internal

    Revenue (BIR)

    ____5. A Statement of Policy on Conflict of Interest

    signed by BOT Chair/President and Corp.

    Secretary (sample available upon request)

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    ____6. List of Current Board Members & Officers

    with Contact Addresses

    ____7. List of Key Members of the Staff

    ____8. BIR Certificate of Registration

    (BIR Form 2303)

    ____9. Audited Financial Statements (received by

    BIR) forthe last two (2) years

    ____10. Copy of the Auditors Certificate of

    Accreditation from the Board of

    Accountancy (BOA).

    ____11. BIR Certificate of Tax Exemption

    (if operating for over 3 years); or

    Application for Tax Exemption

    received by BIR.

    ____12. Certificate of Accreditation (if accredited

    by a government agency/ies)

    ____13. Certificate of Affiliation (if a member of a

    ____6. List of Current Board Members & Officers

    with Contact Addresses

    ____7. List of Key Members of the Staff

    ____8. BIR Certificate of Registration

    (BIR Form 2303)

    ____9. Certificate of Accreditation (if accredited

    by a government agency/ies)

    ____10. Certificate of Affiliation (if a member of a

    NGO network/s)

    ____11. Audited Financial Statement (received by the

    BIR) for the past year

    ____12. Copy of the Auditors Certificate of

    Accreditation from the Board of

    Accountancy (BOA).

    ____13. Affidavit of Modus Operandi showing the

    character & purpose of the organization, list

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    NGO network/s)

    ____14. Photocopy of the Applicants Withholding

    Tax Remittances for the last six (6) months

    (BIR Form 1601)

    ____15. Annual Information Return of Income Tax

    Withheld on Compensation, Expanded &

    Final W/holding Taxes (BIR Form 1604)

    with Alpha List of Employees for the last

    two (2) years

    ____16. Annual Income Tax Return (BIR Form

    1702), together with Account Information

    Form (BIR Form 1702 AIF) or Audited

    Financial Statements in the absence of the

    form 1702AIFfor the last two (2) years

    ____17. Photocopy of the first pages of Books of

    Accounts registered with BIRfor the last

    two (2) years

    10. General Ledger

    11. General Journal

    12. Cash Receipts Book

    of proposed projects/activities for the next

    two (2) years; target funds & sources; and

    other facts deemed relevant to qualification

    as donee institution.

    ____14. Photocopy of the Applicants Withholding

    Tax Remittances for the last six (6) months

    (BIR Form 1601)

    ____15. Annual Information Return of Income Tax

    Withheld on Compensation, Expanded &

    Final W/holding Taxes (BIR Form 1604)

    with Alpha List of Employees

    ____16. Annual Income Tax Return (BIR Form

    1702), together with Account Information

    Form (BIR Form 1702 AIF) or Audited

    Financial Statements in the absence of the

    form 1702AIFI

    ____17. Photocopy of the first pages of Books of

    Accounts registered with BIR

    6. General Ledger

    7. General Journal

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    13. Cash Disbursement Book

    ____18. Sample of Official Receipts (OR) registered

    with and duly stamped by BIR

    ____19. BIR Permit to use Computerized Books of

    Accounts, if applicable

    ____20. BIR Permit to use Loose-Leaf Official

    Receipts and/or Cash Register Machines, if

    applicable

    ____21. Exact location map/sketch of main office

    with labeled landmarks and name of street.

    8. Cash Receipts Book

    9. Cash Disbursement Book

    ____18. Sample of Official Receipts (OR) registered

    with and duly stamped by BIR

    ____19. BIR Permit to use Computerized Books of

    Accounts, if applicable

    ____20. BIR Permit to use Loose-Leaf Official

    Receipts and/or Cash Register Machines, if

    applicable

    ____21. Exact location map/sketch of main office

    with labeled landmarks and name of street

    8. The PCNC will then assess the documents to determine the applicant NGO's readiness for theevaluation visit.

    9. The applicant organization will then pay the remaining balance of the full application feedepending on total assets as reflected in the applicants latest audited financial statement.

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    10. During the evaluation visit, original copies of the ff. documents need to be exhibited forchecking:

    1. Updated Books of Accounts for the current and past:a. Cash Disbursement Book c. Cash Receipts Booksb. General Ledger d. Journal Books

    2. BIR permit if accounting system is computerized3. Latest Audited Financial Statement (with external auditors BOA accreditation number & SEC,

    BI R, & PRC registration number)4. Financial Policies/Procedures5. Approved Budget for the Current Year6. 3-5 Year Program and Financial Plan7. Check Disbursement Vouchers8. Bank Account documents & signatories9. Minutes of Board Meetings10. Minutes of Staff Meetings11. Board Resolutions12. MOA w/ Partner Agencies, if any13. Administrative Policies14. Program Operations Manual15. SEC Registration & Articles of Incorporation & By-Laws16. Other Pertinent Documents