Form 4506-A - Request For Public Inspection Or Copy (Rev. August 2003) Of Exempt Or Political Organization Irs Form

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4506-A
Request for Public Inspection or Copy
Form
of Exempt or Political Organization IRS Form
(Rev. August 2003)
OMB No. 1545-0495
Department of the Treasury
Type or print clearly. Request may be rejected if the form is incomplete or illegible.
Internal Revenue Service
You may not have to complete Form 4506-A to get the copies you need.
● Internet. Generally, Form 8871, Political Organization Notice of Section 527 Status, and Form 8872, Political Organization
Report of Contributions and Expenditures, are available for inspection and printing from the Internet. The website address for
both forms is
● Public disclosure by the organization. Exempt or political organizations must make their returns, reports, notices, and
exempt applications available for public inspection. You can visit the organization to inspect the material instead of requesting
it from the IRS. The organization may be able to mail the copies to you.
1
Exempt or political organization. If a multiple request, please attach list of names, forms, and tax years.
Name
Address
City or town, state, and ZIP code
2
Employer identification number of exempt or political organization (if known)
3 Requester
Name
Contact person
Address
City or town, state, and ZIP code
Phone number
(
)
4 Category of requester:
Commercial user
Non-commercial scientific institution
You must check a box.
Educational institution
Media
All others
5 Reason for request. All requesters except for commercial users must provide an explanation of how the records will be used to avoid being
charged the commercial rate. Attach additional sheets if necessary.
Lines 6-9. Check the box(es) for the item(s) you are requesting. You may request more than one item. For each item, check either
the copy, inspection, or CD-ROM box and enter the tax year(s), as indicated.
6
Form 1023 or 1024
7
Form 990, 990-EZ, or 990-PF
If ordering a partial set
State(s)
Copy
Inspection
Copy
Inspection
CD-ROM
on CD-ROM, indicate:
Month(s)
Tax year(s) requested
8
Form 8871 (see instructions)
9
Form 8872 (see instructions)
10
Date requested
Copy
Inspection
Copy
Inspection
IRS Use Only
11 The form requested above was inspected by (name of requester)
12 IRS office where inspection was made
13
Signature of employee present at inspection
14
Date
4506-A
For Privacy Act and Paperwork Reduction Act Notice, see back of form.
Cat. No. 41722P
Form
(Rev. 8-2003)

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