Is your organization a Section 501(c)(3) tax-exempt organization operating in one of the following states? Please note, if you are using a fiscal sponsor, please respond using your fiscal sponsor’s information.

1. Alabama
2. Arkansas
3. Florida
4. Georgia
5. Indiana
6. Kentucky
7. Maryland
8. Mississippi
9. New Jersey
10. North Carolina
11. Ohio
12. Pennsylvania
13. South Carolina
14. Tennessee
15. Texas
16. Virginia
17. Washington, DC
18. West Virginia