Community Organization Intake Form
LaTarence Dunbar L3C – Community Project Developer Ecosystem
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Organization Information
01
Organization Name
Provide your official organization name as registered with state and federal authorities.
02
Primary Contact Person
Include name, title, phone, and email for the main point of contact who will coordinate with our ecosystem.
03
Organizational Identifiers
Submit SAM.gov UEI, DUNS Number (if available), EIN/Tax ID, and state of incorporation for verification purposes.
Nonprofit & Business Structure
Understanding your organization's legal structure helps us align partnership opportunities and funding pathways. We work with various entity types including charitable organizations, social welfare groups, business leagues, and innovative structures like L3Cs.
IRS Status Options
  • 501(c)(3) – Charitable
  • 501(c)(4) – Social Welfare
  • 501(c)(6) – Business League
  • 501(c)(8) – Fraternal Beneficiary
  • 501(c)(19) – Veterans Organization
  • L3C, LLC, or Other
Year Founded
Your organization's founding year helps us understand your operational history and maturity level. This information is essential for assessing grant readiness and partnership alignment within our ecosystem.
Programs & Services
Mission Statement
Share your organization's core mission and the impact you aim to create in your community.
Key Programs
Detail the primary programs and services you provide to your target populations.
Target Population
Identify the specific communities and demographics you serve through your initiatives.
Your mission and programs form the foundation of our partnership assessment. We seek to understand how your organization's work aligns with our ecosystem's focus on community development, economic mobility, and innovative technology integration.
Partnership & Ecosystem Alignment
Identify areas where your organization wishes to improve or expand. Our ecosystem offers comprehensive support across multiple domains to strengthen your impact and sustainability.
Organizational Restructuring
Strategic guidance for optimizing your organizational structure and operations.
Fiscal Sponsorship
Access fiscal sponsorship models and grant readiness support.
Workforce Development
WIOA alignment and workforce training program integration.
XR / AI Technology
Cutting-edge technology integration for enhanced service delivery.
Youth Development
Sports academy and youth empowerment program development.
Economic Mobility
Entrepreneurship support and EB-5 service center alignment.
Supporting Documentation
Strengthen your application by providing relevant organizational documents. These materials help us better understand your capabilities, track record, and alignment with our ecosystem goals.
Strategic Plan
Your organization's roadmap for future growth and impact.
IRS Determination Letter
Official tax-exempt status documentation.
Program Overview
Detailed descriptions of your programs and services.
Past Grants & Awards
History of funding received and recognition earned.
Annual Report
Comprehensive overview of your yearly activities and impact.
Digital Presence
Website and social media links showcasing your work.
Confidentiality & Legal Protections
Your information security and intellectual property protection are paramount. Our comprehensive legal framework ensures all shared information remains confidential and proprietary systems are protected.
1
Confidentiality Acknowledgment
All information shared with LaTarence Dunbar L3C and its ecosystem will be treated as confidential and used only for organizational assessment and community development purposes.
2
Non-Disclosure Agreement
A formal NDA will be issued by the attorney representing LaTarence Dunbar L3C. You agree not to disclose proprietary models, strategies, or systems shared during onboarding.
3
Non-Compete Protection
Smart-City ecosystem designs, funding models, and proprietary pathways (WIOA, XR/AI, EB-5, fiscal sponsorship structures) may not be replicated or circumvented without written authorization.
Joint Venture Opportunity
Collaborative Partnership Model
This intake form serves as an assessment toward potential collaboration or joint venture under a newly formed L3C entity. Our ecosystem approach creates synergies between organizations, leveraging collective strengths for greater community impact.
The joint venture intent is non-binding at this stage, pending comprehensive attorney review and mutual agreement on partnership terms. This structure allows organizations to maintain their independence while benefiting from shared resources, expertise, and funding opportunities.
Assessment Phase
Initial evaluation of organizational fit and alignment
Legal Review
Attorney-led examination of partnership structure
Formal Agreement
Binding partnership documentation
Legal Disclaimer

Important Legal Notice
These acknowledgments are informational and non-binding. A formal agreement will be provided by legal counsel representing LaTarence Dunbar L3C.
The intake form and initial acknowledgments serve as a preliminary assessment tool only. No legal obligations are created through submission of this form. All formal partnerships, joint ventures, and collaborative agreements require separate, attorney-drafted documentation that clearly outlines rights, responsibilities, and terms of engagement.
Intake Submission
Initial information gathering
Assessment Review
Ecosystem alignment evaluation
Legal Documentation
Formal agreement preparation
Partnership Launch
Collaborative work begins
Begin Your Partnership Journey
Join the LaTarence Dunbar L3C Community Project Developer Ecosystem and unlock new opportunities for organizational growth, funding access, and community impact. Our comprehensive support system is designed to elevate your mission and expand your reach.
8
Focus Areas
Comprehensive support across organizational development, technology, workforce, and economic mobility
100%
Confidential
Complete protection of your information and proprietary systems
1
Ecosystem
Unified community development platform connecting organizations for greater impact