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Revised Nov.7, 2007

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, Metro Manila_029077152__________________________________________________________

Telephone No. ___029077152_____________ Fax No.:___________________________ 2. 3. SEC Registration No. _______________________ Dated: ____________________________ Status of Organization: (please check) (x ) Newly Established Years of Existence _______0 yrs______ ( ) Existing Donee Institution previously registered and allowed limited / full deductibility donations for donors under: ________________RA 9710________________________________
(Please state PD & RA No. or Special Law granting deductibility to donors)

4.

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

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.

2013 Donations
______________________________________________ ___________________________________________________________________________

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 some blame for the harassment. Some victims also feel stigmatized; that no one believes them; or that no one thinks 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 Sections 4, 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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Revised Nov.7, 2007

_______Anne Sacheen Villacorta-Leano____ Applicant (Signature over Printed Name) ________Founding Officer______ Position / Title

PHILIPPINE COUNCIL FOR NGO CERTIFICATION (PCNC)

QUALIFYING CONDITIONS BEFORE APPLICATION:

A. The DONEE INSTITUTION STATUS is granted only to the following

entities:
2.

Non-stock, non-profit domestic corporations or associations organized under Philippine laws and operated exclusively for religious, charitable, scientific, youth and sports development, cultural or educational, social welfare purposes or for the rehabilitation of veterans;

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3. 4. 5.

Civic League or organization not organized for profit but operated exclusively for the promotion of social welfare; Non-stock, non-profit educational institution. The organization has been formally operating for at least one (1) year.
characteristics (BIR Revenue Regulations No. 13-98):

B. A non-stock, non-profit corporation or organization has the following

1. no part of the net income or asset shall belong to or inure to the benefit of any member, 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 manner as in the judgment of said court shall best accomplish the general purpose for which the dissolved organization was organized.

IMPORTANT QUESTIONS FOR THE PROSPECTIVE APPLICANT:

1. Is your organization one of those mentioned in A?

If it is not, your organization is not qualified to be certified as a DONEE INSTITUTION and need not apply for certification. 2. Does your organization have all the characteristics mentioned in B? If it does not, 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 of donations from taxable income? If not, your organization need not apply for certification. 4. Is your organization operating as a microfinance institution? If it is, then it is 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 Philippine Council for NGO Certification, Inc. 2756 th 6 Floor, SCC Bldg., CFA - MA Compound 1568 4427 Interior Old Sta Mesa, 1016 Manila 715-2783

Phone #s:

715-9594 715782Fax #:

Email pcnc@pldtdsl.net
The applying NGO/Non-Stock, Non-Profit Organization will fill up the following forms (available in the website: a. Letter of Intent form b. Application for Accreditation as a Donee Institution c. Survey Form and pay the down payment of One 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 folder must contain a complete set of required 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 not accept 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)

____1. Brochure (if any)

____2. Annual Report or List of Accomplishments for the last two (2) years

____2. Organizational Chart or Table of Organization

____3. Organizational Chart or Table of

____3. List of Activities /Accomplishments for

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Organization

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:

____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 shall inure to the benefit of any member, officer, organizer or any individual person; iii. members of the Board NOT receiving any compensation; iv. the level of administrative expenses not exceeding 30% of the total donations received and of total expenses for the taxable 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)

i.

distribution of assets upon dissolution (RR 13-98 Sec. 3, 2, iii);

ii. no part of the property or income shall inure to the benefit of any member, officer, organizer or any individual person; iii. members of the Board NOT receiving any compensation; iv. the level of administrative expenses not exceeding 30% of the total donations received and of total expenses for the taxable 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 ____6. List of Current Board Members & Officers with Contact Addresses ____7. List of Key Members of the Staff ____7. List of Key Members of the Staff ____8. BIR Certificate of Registration (BIR Form 2303) ____8. BIR Certificate of Registration (BIR Form 2303) ____9. Audited Financial Statements (received by BIR) for the last two (2) years ____9. Certificate of Accreditation (if accredited by a government agency/ies) ____10. Copy of the Auditors Certificate of Accreditation from the Board of Accountancy (BOA). ____10. Certificate of Affiliation (if a member of a NGO network/s)

____11. BIR Certificate of Tax Exemption (if operating for over 3 years); or Application for Tax Exemption received by BIR.

____11. Audited Financial Statement (received by the BIR) for the past year

____12. Copy of the Auditors Certificate of Accreditation from the Board of

____12. Certificate of Accreditation (if accredited by a government agency/ies)

Accountancy (BOA).

____13. Affidavit of Modus Operandi showing the ____13. Certificate of Affiliation (if a member of a character & purpose of the organization, list

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NGO network/s)

of proposed projects/activities for the next two (2) years; target funds & sources; and

____14. Photocopy of the Applicants Withholding Tax Remittances for the last six (6) months (BIR Form 1601)

other facts deemed relevant to qualification as donee institution.

____14. Photocopy of the Applicants Withholding ____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 ____15. Annual Information Return of Income Tax Withheld on Compensation, Expanded & Final W/holding Taxes (BIR Form 1604) ____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 1702AIF 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 ____17. Photocopy of the first pages of Books of Accounts registered with BIR for the last two (2) years 10. General Ledger 11. General Journal 12. Cash Receipts Book ____17. Photocopy of the first pages of Books of Accounts registered with BIR 6. General Ledger 7. General Journal form 1702AIFI with Alpha List of Employees Tax Remittances for the last six (6) months (BIR Form 1601)

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13. Cash Disbursement Book

8. Cash Receipts Book 9. Cash Disbursement Book

____18. Sample of Official Receipts (OR) registered with and duly stamped by BIR ____18. Sample of Official Receipts (OR) registered with and duly stamped by BIR ____19. BIR Permit to use Computerized Books of Accounts, if applicable ____19. BIR Permit to use Computerized Books of ____20. BIR Permit to use Loose-Leaf Official Receipts and/or Cash Register Machines, if applicable ____20. BIR Permit to use Loose-Leaf Official Receipts and/or Cash Register Machines, if ____21. Exact location map/sketch of main office with labeled landmarks and name of street. ____21. Exact location map/sketch of main office with labeled landmarks and name of street applicable Accounts, if applicable

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

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

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Revised Nov.7, 2007

10. During the evaluation visit, original copies of the ff. documents need to be exhibited for checking: 1. Updated Books of Accounts for the current and past: a. Cash Disbursement Book c. Cash Receipts Books b. General Ledger d. Journal Books 2. BIR permit if accounting system is computerized 3. Latest Audited Financial Statement (with external auditors BOA accreditation number & SEC, BIR, & PRC registration number) 4. Financial Policies/Procedures 5. Approved Budget for the Current Year 6. 3-5 Year Program and Financial Plan 7. Check Disbursement Vouchers 8. Bank Account documents & signatories 9. Minutes of Board Meetings 10. Minutes of Staff Meetings 11. Board Resolutions 12. MOA w/ Partner Agencies, if any 13. Administrative Policies 14. Program Operations Manual 15. SEC Registration & Articles of Incorporation & By-Laws 16. Other Pertinent Documents