Nonprofit Application

Please complete the following form and attach the requested files.

Contact Information-

Organization Name

Organization Tax ID #

Organization Street Address

City

State

Zip

Secondary Street Address

Secondary City

Secondary State

Secondary Zip

Contact Name

Contact Phone

Email for Contact #1

Email for Contact #2

Eligibility Criteria+

Poptivism recipient Charities must be nonprofit, charitable organizations tax-exempt under section 501(c)(3) of the Internal Revenue Code.

In addition,

- Charities must be in good standing in their state of incorporation and in the states where they are authorized to do business;

- Headquartered in the United States

Charities must not engage in, support, encourage, or promote:

- Intolerance, discrimination or discriminatory practices based on race, sex, religion, nationality, disability, sexual orientation, or age

- Hate, terrorism, or violence

- Money laundering

- Other illegal, deceptive, or misleading activities

PopSockets relies on the US Office of Foreign Assets Control, the Southern Poverty Law Center, and Charity Navigator’s Concern ratings to determine which charities fall into these groups.

Religious organizations such as churches, mosques, and synagogues may qualify if they have established a separate 501(c)(3) organization to operate the funded program AND programs are offered to the general population regardless of religious affiliation.

Elementary and secondary schools cannot be funded directly; programs administered within a school environment by a separate 501(c)(3) organization are eligible.

Ineligible Groups:

- Political causes, candidates, organizations, or campaigns

- For-profit organizations or programs operated by, or for the benefit of, for-profit organizations

- Organizations or programs that require membership in a certain religion or advance a particular religious faith

Nonprofit Information+

The following information may appear on PopSockets websites, social media or promotional campaigns:

Mission Statement / Describe your work, max 400 characters

Please list an additional accomplishment in 100 characters or less

Please list an additional accomplishment in 100 characters or less

Please describe what you hope to accomplish with Poptivism donations in 600 characters or less

Attachments+

Please attach 1-3 images of your charity in action

  • - Maximum 3 images or 2 images and 1 video
  • - PNG or JPG file types accepted.
  • - Aspect ratio 16:9 (horizontal)
  • - Logo may be substituted for one image
  • - Image files must be named in the following format:
  • CharityName_image-1.png
  • CharityName_image-2.jpg, etc

If available, please attach a link to a video (YouTube / Vimeo) demonstrating your organization’s work: Optional

Attach signed Agreement in PDF format

Attach a copy of your 501(c)(3) determination letter in PDF format

Charity Categories+

Please select at least one category under which your nonprofit should be listed.