Looking for a Irs Forms And Templates? Download it for free!

Form 8868 (Rev. 1-2014)

Page

¥ If you are filing for an

Additional (Not Automatic) 3-Month Extension, complete only Part II

and check this box ~~~~~~~~~~ |

Note.

Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.

¥ If you are filing for an

Automatic 3-Month Extension, complete only Part I

(on page 1).

Part II

Additional (Not Automatic) 3-Month Extension of Time.

Only file the original (no copies needed).

Enter filer's identifying number, see instructions

Type or

Name of exempt organization or other filer, see instructions.

Employer identification number (EIN) or

CANCER SUPPORT COMMUNITY MONTANA

81-0542266

File by the

due date for

Number, street, and room or suite no. If a P.O. box, see instructions.

Social security number (SSN)

filing your

102 S 11TH AVE

return. See

instructions.

City, town or post office, state, and ZIP code. For a foreign address, see instructions.

BOZEMAN, MT

59715

0 1

Enter the Return code for the return that this application is for (file a separate application for each return) ~~~~~~~~~~~~~~~~~

Application

Return

Application

Return

Is For

Code

Is For

Code

Form 990 or Form 990-EZ

Form 990-BL

Form 1041-A

Form 4720 (individual)

Form 4720 (other than individual)

Form 990-PF

Form 5227

Form 990-T (sec. 401(a) or 408(a) trust)

Form 6069

Form 990-T (trust other than above)

Form 8870

STOP! Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.

BECKY FRANKS

102 S 11TH AVE - BOZEMAN, MT 59715

¥ The books are in the care of |

406-582-1600

Telephone No. |

Fax No. |

¥ If the organization does not have an office or place of business in the United States, check this box ~~~~~~~~~~~~~~~~ |

¥ If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)

. If this is for the whole group, check this

box |

. If it is for part of the group, check this box

and attach a list with the names and EINs of all members the extension is for.

NOVEMBER 15, 2016

I request an additional 3-month extension of time until

2015

For calendar year

, or other tax year beginning

, and ending

If the tax year entered in line 5 is for less than 12 months, check reason:

Initial return

Final return

Change in accounting period

State in detail why you need the extension

AN ATTEMPT TO OBTAIN INFORMATION NECESSARY FOR FILING A RETURN WAS

REQUESTED IN A TIMELY FASHION, BUT THE INFORMATION WAS NOT FURNISHED

IN SUFFICIENT TIME TO PERMIT THE TIMELY FILING OF THE RETURN, OR THE

TAXPAYER PERSONALLY VISITED AN IRS OFFICE FOR THE PURPOSE OF SECURING

INFORMATION OR ADVICE AND WAS UNABLE TO MEET WITH AN IRS REPRESENTATIVE

If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any

nonrefundable credits. See instructions.

If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated

tax payments made. Include any prior year overpayment allowed as a credit and any amount paid

previously with Form 8868.

Balance due.

Subtract line 8b from line 8a. Include your payment with this form, if required, by using

EFTPS (Electronic Federal Tax Payment System). See instructions.

Signature and Verification must be completed for Part II only.

Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,

it is true, correct, and complete, and that I am authorized to prepare this form.

TREASURER

Signature |

Title |

Date |

Form

8868

(Rev. 1-2014)

523842

04-01-15

38.1

13340919 792194 141677

2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1

Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 38

Related Articles

Related forms

Related Categories