Strong Families Nonprofit Eligibility Certification

Thank you for your interest in applying for eligibility to receive designated contributions under the Strong Families Tax Credit Program enacted under Subchapter P, Chapter 171, of the Texas Tax Code.

This application should take approximately 15 minutes to complete and must be completed in one sitting. To support the facilitation of this program, there is an application fee of $20 fee.

When the application is submitted, you will be rerouted to a payment platform to complete the transaction. If you are unable to make the payment at this time, a link to the payment platform will be emailed to you with confirmation of your application. Payment must be completed before OneStar will review your application. OneStar will review all applications within two weeks of payment.

I understand that OneStar will not review my application until payment is submitted.

YesNo

ORGANIZATION INFORMATION

Organization Legal Name

Enter the legal name of the applicant organization exactly as it appears on government filings and tax documents.

Organization Common/Trade Name

Enter the applicant organization name as it is most commonly known by and publicly operates under in marketing and external materials (i.e., dba or doing business as).

Organization EIN/Tax ID

Enter nine-digit number. Do not include spaces, dashes, or special characters.

Organization Website [if available]

Organization Mailing Street Address

City

State

Zip Code

Attach organization's most recent Form 990

PRIMARY CONTACT

First Name

Last Name

Email

Direct Phone

Do not enter dashes or parentheses.

Job/Position Title

SECONDARY CONTACT

First Name

Last Name

Email

Direct Phone

Do not enter dashes or parentheses.

Job/Position Title

ELIGIBILITY INFORMATION

Eligible organizations must provide services or programs that meet one or both of the following criteria:

Comprehensive case management services for at-risk families based on an assessment of family strengths and needs, including assisting families in achieving self-sufficiency and stability and encouraging workforce participation; or
Services and resources to assist fathers in learning/improving parenting skills and being more engaged in their children’s lives through in-school programs and online resources.

Check all that apply to your organization:

Serves at-risk familiesProvides on-going case management services Conducts assessment based on needsTargets achieving self-sufficiency, stability, and/or workforce participationTargets improving fathers' parenting skills Targets increasing fathers' engagement in their children's lives

Describe the eligible programs and services your organization provides.

Indicate whether your organization meets each of the additional eligibility criteria by selecting Yes or No.

	Yes	No
Exempt from federal income taxation under Section 501(a), Internal Revenue Code of 1986, as an organization described by Section 501(c)(3) of that code
Authorized to transact business in Texas
Have provided the services described above in Texas for at least three years preceding this application
Not provide abortion services or information related to abortion services either directly or indirectly
Have not received more than 50% of its total annual revenue from the state or a political subdivision of the state in the preceding fiscal year

ACKNOWLEDGEMENT OF DUTIES

Once certified and in receipt of a designated contribution, an eligible organization shall do the following:

Conduct a local, state, and national criminal background check for all individuals working with children in a program funded by the designated contributions (including the use of commercial criminal records locator and the national sex offender registry database
Spend all designated contributions to provide services or resources to residents of Texas, up to 5% may be used for administrative expenses
Submit a copy of current IRS form 990 to the Comptroller's Office
On receipt of a designated contribution, the organization must provide a certificate of contribution to the donating entity
Provide a copy of each certificate of contribution to the Comptroller's Office within 30 days of the contribution

By checking this box, the organization acknowledges and agrees to comply with the duties listed above.

ACKNOWLEDGEMENT FOR RECERTIFICATION

To remain eligible, the organization must submit the following information annually about the previous calendar year:

A narrative description of the qualifying services and resources provided by the organization
The total number of individuals served though the services described above and the number of individuals who were able to be served specifically because of the designated contributions.
The outcomes for qualifying services and resources
An updated 990
Updated contact information
A signed statement from an officer of the organization that attests to on-going eligibility, compliance with the previous year's requirements and the intention to comply with the requirements in the next year.

By checking this box, the organization acknowledges and understands the requirements for re-certification.

I certify under penalty of perjury that the information contained in this application is true and correct to the best of my knowledge and belief and that I am authorized to execute this document on behalf of the organization.

First Name

Last Name

Job/Position Title