Form 8868 - Application For Automatic Extension Of Time To File An Exempt Organization Return

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8868
Application for Automatic Extension of Time To File an
Form
Exempt Organization Return
OMB No. 1545-1709
(Rev. January 2017)
File a separate application for each return.
Department of the Treasury
Information about Form 8868 and its instructions is at
Internal Revenue Service
Electronic filing (e-file). You can electronically file Form 8868 to request a 6-month automatic extension of time to file any of the
forms listed below with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit
Contracts, for which an extension request must be sent to the IRS in paper format (see instructions). For more details on the electronic
filing of this form, visit , click on Charities & Non-Profits, and click on e-file for Charities and Non-Profits.
Automatic 6-Month Extension of Time. Only submit original (no copies needed).
All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts
must use Form 7004 to request an extension of time to file income tax returns.
Enter filer's identifying number, see instructions
Name of exempt organization or other filer, see instructions.
Employer identification number (EIN) or
Type or
print
Number, street, and room or suite no. If a P.O. box, see instructions.
Social security number (SSN)
File by the
due date for
filing your
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
return. See
instructions.
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
01
Form 990-T (corporation)
07
Form 990-BL
02
Form 1041-A
08
Form 4720 (individual)
03
Form 4720 (other than individual)
09
Form 990-PF
04
Form 5227
10
Form 990-T (sec. 401(a) or 408(a) trust)
05
Form 6069
11
Form 990-T (trust other than above)
06
Form 8870
12
• The books are in the care of
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.
1
I request an automatic 6-month extension of time until
, 20
, to file the exempt organization return
for the organization named above. The extension is for the organization’s return for:
calendar year 20
or
tax year beginning
, 20
, and ending
, 20
.
2
If the tax year entered in line 1 is for less than 12 months, check reason:
Initial return
Final return
Change in accounting period
3a 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.
3a $
b 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.
3b $
c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by
using EFTPS (Electronic Federal Tax Payment System). See instructions.
3c $
Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 8879-EO for payment
instructions.
8868
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Form
(Rev. 1-2017)
Cat. No. 27916D

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