Group Exemption Authorization Form Group Exemption Authorization Certification Letter Date:* Date Format: MM slash DD slash YYYY Subordinate Organization:*Parent Organization:*Parent Organization Treasurer's Name:* First Last Parent Organization Treasurer's Contact Phone Number:*Section BreakBy signing below, we certify that the Subordinate Non-Profit Organization named above is recognized by the parent non-profit organization (organization whose name is listed on the determination letter from the IRS) and was submitted to the IRS for inclusion under the primary 501(c)3 held by the Parent Organization.Parent Treasurer's Signature:*Parent Treasurer's Name:*Date:* Date Format: MM slash DD slash YYYY Parent CEO's Signature:*Parent CEO's Name:*Date:* Date Format: MM slash DD slash YYYY