NCLWF Master File Documentation Update Form

North Carolina Land and Water Fund (NCLWF) maintains a central file of contract documentation for your organization in an effort toward efficient operations and paper reduction. It is the responsibility of your organization to send our office any updates, amendments, and/or changes to these documents.

Please note below the status of these documents over the past twelve (12) months. Check the appropriate corresponding boxes, sign the form, and attach the required documents as necessary.

**New for 2020** If your organization is using electronic funds transfer (EFT), please verify that the correct contact and banking information is being used. To do so, complete the Vendor Electronic Payment form and fax or email it to the Office of the State Controller.

Organization Name *

Email address *

Current Status of Document

1. Change of address or contact/
billing information? *

Yes

No

1a. If yes, please enter updated information

2. Articles of Incorporation *

No change

Change(s) - new document attached

3. By Laws *

No change

Change(s) - new document attached

4. Conflict of Interest Policy *

No change

Change(s) - new document attached

5. Tax Exempt Status * 🛈

No change

Change(s) - new document attached

6. State Grant Certification-No Overdue Taxes * 🛈

New document attached (required annually)

Attach updated files here:

Printed name *

The information above and the attached documents are true, correct, and complete to the best of my knowledge and belief. I am authorized by the governing board to submit these documents on behalf of the organization named above. *

clear

Date: * +

Use the mouse to sign by pressing and holding the left click button. Forms without a signature will not be accepted.