Instructions For Form 1028

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Department of the Treasury
Internal Revenue Service
Instructions for Form 1028
(Revised March 1994)
Application for Recognition of Exemption
Under Section 521 of the Internal Revenue Code
Section references are to the Inter nal Revenue Code unless otherwise noted.
Make sure the application is complete.
persons with similar occupations that is
organized and operated on a cooperative
basis.
Please note. . .
B. Where To FIle
1. Complete all parts of the application.
File the completed application and all
required information with the key district
2. Show the employer identification number:
office for your organization’s principal place
a. If the organization has one, put it on line 1b.
of business or office as listed below. Soon
b. If the organization doesn’t have an employer identification number, obtain an
after we receive the application, you will be
EIN by telephone (see the Specific Instructions for Part I, line 1b).
advised of the Internal Revenue Service’s
determination and of the annual returns that
3. Enclose financial statements (see the Specific Instructions for Part IV):
the organization will be required to file.
a. Current year (must include period up to within 60 days of the date the
If the organization
Send application
application is filed) and 3 preceding years.
is in:
and fee to:
b. Detailed breakdown of receipts and expenditures—no lump sums.
4. Include a conformed copy of the complete organizing instrument.
Connecticut, Maine,
Internal Revenue Service
Massachusetts, New
EP/EO Division
a.
Organizing instrument means:
Hampshire, New York,
P. O. Box 1680, GPO
Rhode Island, Vermont
Brooklyn, NY 11202
(1) Articles of Incorporation
Delaware, District of
Internal Revenue Service
(a) Signed by the incorporators and
Columbia, Maryland,
EP/EO Division
(b) Signed by an appropriate government official, or
New Jersey,
P. O. Box 17010
Pennsylvania, Virginia,
Baltimore, MD 21203
(2) Constitution or articles of association (signed).
any U.S. Possession
b. Include a copy of the bylaws.
(except Virgin Islands) or
foreign country
c. A conformed copy is one that agrees with the original and all amendments to
Indiana, Kentucky,
Internal Revenue Service
it.
Michigan, Ohio, West
EP/EO Division
5. Enclose Form 8718 and appropriate user fee (see General Instruction F).
Virginia
P. O. Box 3159
Cincinnati, OH 45201
6. Have the application signed by one of the following:
Arizona, Colorado,
Internal Revenue Service
a. An officer,
Kansas, New Mexico,
EP/EO Division
b. A director, or
Oklahoma, Texas, Utah,
Mail Code 4950 DAL
Wyoming
1100 Commerce Street
c. A person having power of attorney (submit the power of attorney too).
Dallas, TX 75242
7. Give us the name and phone number of someone we can call during normal
Alabama, Arkansas,
Internal Revenue Service
business hours if we need additional information (Part I, line 3).
Florida, Georgia,
EP/EO Division
Louisiana, Mississippi,
P. O. Box 941
North Carolina, South
Atlanta, GA 30370
Paperwork Reduction Act
If you have comments concerning the
Carolina, Tennessee
accuracy of these time estimates or
Alaska, California,
Internal Revenue Service
Notice
suggestions for making this form more
Hawaii, Idaho, Nevada,
EP/EO Division
simple, we would be happy to hear from you.
Oregon, Washington
McCaslin Industrial Park
We ask for the information on this form to
2 Cupania Circle
You can write to both the Internal Revenue
carry out the Internal Revenue laws of the
Monterey Park, CA
Service, Attention: Reports Clearance Officer,
United States. If you want your organization
91754-7406
PC:FP, Washington, DC 20224; and the
to be recognized as tax exempt by the IRS,
Illinois, Iowa, Minnesota,
Internal Revenue Service
Office of Management and Budget,
you are required to give us this information.
Missouri, Montana,
EP/EO Division
Paperwork Reduction Project (1545-0058),
We need it to determine whether the
Nebraska, North Dakota,
230 S. Dearborn DPN 20-5
Washington, DC 20503. DO NOT send the
organization meets the legal requirements for
South Dakota, Wisconsin
Chicago, IL 60604
form to either of these offices. Instead, see
tax-exempt status.
U.S. Virgin Islands
Virgin Islands Bureau of
Where To File.
Internal Revenue
The time needed to complete and file this
Lockharts Garden No. 1A
General Instructions
form will vary depending on individual
Charlotte Amalie, St.
circumstances. The estimated average time
Thomas, VI 00802
Keep a copy of the completed application
is:
form in your permanent records.
C. Power of Attorney
Recordkeeping
44 hr., 14 min.
A. Who May Use This Form
Learning about the law
If an agent or attorney will represent the
or the form
1 hr., 32 min.
organization, you must file a power of
Form 1028 may be used by a farmers’
attorney, specifically authorizing the
Preparing the form
4 hr., 11 min.
cooperative to apply for recognition of
representative to act in person or by
exempt status under section 521. A farmers’
Copying, assembling, and
correspondence. Send the power of attorney
cooperative, as defined in section 521, is an
sending the form to the IRS
32 min.
with the application when you file it. Use
association of farmers, fruitgrowers, or
Form 2848, Power of Attorney and
Cat. No. 17139Y

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