PA Business EITC

Interested in learning more and/or participating in PA EITC? Complete this form and we will apply to the program for you. You may also contact our Development Office at ccoffman@camphillschool.org.

Are you an individual or couple who wants to know how you can participate? Email Courtney at ccoffman@camphillschool.org.

EITC Business

Business Legal Name*
Business Legal Address*
Email*
Business Legal Entity*
- Limited Liability Company (LLC)
- Sole Proprietorship
- S Corp
- Corporation
- Limited Liability Partnership (LLP)
- General Partnership
- Limited Partnership
- Limited Liability Limited Partnership (LLLP)
Federal Employer Identification Number (FEIN)*
CEO Full Name and Title*
Tax Year End Date*
Amount of Donation (Equal to or less than prior year's PA tax liability)*