Charitable Organization Extension Request Form - Minnesota Office Of The Attorney General - 2001

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STATE OF MINNESOTA
OFFICE OF THE ATTORNEY GENERAL
MIKE HATCH
CHARITABLE ORGANIZATION
CHARITIES DIVISION
Attorney General
EXTENSION REQUEST FORM
Suite 1200, NCL Tower
445 Minnesota Street
(651) 296-6172
St. Paul, MN 55101-2130
(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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