Form Ap-205 - Texas Application For Exemption - Charitable Organizations Page 2
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2AP-205-2
PRINT FORM
CLEAR FIELDS
(Rev.6-08/6)
–
TEXAS APPLICATION FOR EXEMPTION
CHARITABLE ORGANIZATIONS
• Remove All Staples
• TYPE OR PRINT
• Do NOT write in shaded areas.
SECTION A
1. ORGANIZATION NAME
(Legal name as provided in the formation document, or if unincorporated, the governing document.)
2. ORGANIZATION MAILING ADDRESS
Street number, P.O. Box or rural route and box number
City
State/Province
ZIP Code
County (or country, if outside the U.S.)
3. Texas taxpayer number (if applicable) ..............................................................................................................................
Month Day
Year
4. a) Enter filing information issued by the Texas Secretary of State
File Number
File Date
OR
b)
Check this box if this organization is not registered with the Texas Secretary of State.
5. Federal Employer Identification Number (EIN)
(Required if applying for exemption on the basis of a federal exemption) .................................................................................
Month Day
Year
6. Earliest date organization provided services ..................................................................................................................................
7. Contact information of the person submitting this application
Name
E-mail Address
Firm or Company Name
Daytime Phone (Area code and number)
Extension
(
)
Address
City
State
ZIP Code
We will notify you by e-mail when the exemption has been added to let you know where the exemption can be verified online. If an e-mail address is not
provided, indicate where our response should be mailed:
organization's mailing address or
mailing address of the submitter.
SECTION B
Please review the information below. If your organization is applying for exemption on the
basis of an IRS exemption, complete Item 8. If your organization is applying for exemption as a charitable organization under Texas law
and rules, complete Item 9.
Item 8. Check here to apply for an exemption on the basis of a federal exemption.
Return the completed application with a copy of the entire IRS determination letter and any addenda. The organization name on the IRS
determination letter must match the organization's legal name as listed in the Articles of Incorporation or governing document. If the IRS
determination letter was issued more than four years prior to the current date, include a copy of a current IRS verification letter. To obtain
a current letter, contact the IRS at (877) 829-5500.
Item 9. Check here to apply for exemption as a charitable organization.
The following documents must be included with your application. Information may be in the form of a bulletin, brochure, written
statement or Web site:
A copy of your organization’s actual or proposed two-year budget; a detailed description of all of the organization’s activities;
any amount of charges for services, how the charges are determined; and the criteria the recipients must meet to receive the
services. Include a written statement or brochures, pamphlets or Web site addresses that describe the activities of
the organization.
A copy of any application used to determine eligibility for the organization's services.
A copy of the IRS determination letter, if your organization is exempt under a qualifying section of the IRC or if the organization is
affiliated with a parent entity that has a federal group exemption under one of the qualifying IRC sections. Attach a letter of
verification from the parent entity that confirms the organization is a recognized subordinate under its federal group exemption.
If the parent organization has not yet obtained exemption from Texas franchise tax and/or sales tax, provide a copy of the parent
organization's entire IRS group exemption ruling letter along with the letter of affiliation.
Special note to unincorporated entities: Include your organization's governing documents, such as bylaws or constitution.
Special note to non-Texas corporations: Include a file-stamped copy of your organization's formation documents AND a current
Certificate of Existence from the Secretary of State or equivalent officer in your home state.
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