Organization Tax Exempt Information Form Employer ID number *Organization name *Doing business asName and Address InformationAddressSuite #CityState, ZIPU.S OnlyCountyU.S OnlyProvince/State, CountryForeign onlyPostal CodeForeign onlyPhone numberGeneral InformationInitial returnFinal returnAmended returnChange in addressChange in nameInitial return of a former public charityExemption application pendingBooks In Care OfNameStreetCityState, ZIPU.S OnlyProvince, Country, Postal CodeForeign onlyPhone NumberFax Number (SCH4 for List)Accounting methodCashAccrualOtherIs this a group return for subordinates?YesNoAre all subordinates included?YesNoGroup exemption numberWebsiteExempt under section other than 501(c)501(c) section #Tax-exempt statusSection 4947(a)(1)Section 527Type of organizationCorporationTrustAssociationOtherYear of formationAdditional RequirementsMark this box if organization is NOT required to file Schedule BOrganization's gross receipts are normally not more than $50,000If not calendar yearFiscal year beginsFiscal year endsState InformationResident StateForm 990 - T W/H Tax ACSales Tax #Misc code 1Misc code 2Other InformationInvoice #Preparer feeFirm #Preparer #Data entry operator #ERO #EmailCellFaxSubmitSave as Draft
