Charitable Organization Extension Request Form

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STATE OF MINNESOTA
OFFICE OF THE ATTORNEY GENERAL
CHARITABLE ORGANIZATION
CHARITIES DIVISION
LORI SWANSON
EXTENSION REQUEST FORM
Suite 1200, Bremer Tower
Attorney General
445 Minnesota Street
St. Paul, MN 55101-2130
(651) 296-6172
(651) 296-1410 (TTY)
Upon request this material can be made available in alternate formats.
Federal EIN Number
Name of Organization
Address of Principal Office
City
State
Zip
Telephone # (include area code)
1. For what fiscal year-end are you requesting an extension?
2. For what length of time do you need an extension?
3. Why do you need the extension?
Name of person making request
Address of person making request
Today s date

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