Request for Group Exemption Form

As a Lodge of the Fraternal Order of Police, we do hereby request to have our name added to the group exemption roster of the Grand Lodge, Fraternal Order of Police. If you have any questions, please contact Angie Hoover at ahoover@fop.net.

Lodge Information
Lodge State*
Lodge Number*
Lodge Name*
Federal EIN*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Lodge Officer
Name*
Lodge Office*
Email*
Phone*
EIN Notice
If available, please attach the notice from the IRS assigning your EIN.
Accepted file types: pdf, txt, doc, docx, xls, xlsx, jpg, jpeg, gif, png, Max file size: 5 MB.
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Lodge Information

Lodge Officer

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