Form 4506-A - Request For Public Inspection Or Copy Of Exempt Or Political Organization Irs Form

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4506-A
Request for Public Inspection or Copy
Form
of Exempt or Political Organization IRS Form
OMB No. 1545-0495
(Rev. August 2014)
Type or print clearly. Request may be rejected if the form is incomplete or illegible.
Department of the Treasury
Information about Form 4506-A and its separate instructions is at
Internal Revenue Service
You may not have to complete Form 4506-A to get the copies you need.
Internet. Form 8871, Political Organization Notice of Section 527 Status, and Form 8872, Political Organization Report of Contributions and
Expenditures, are available for inspection from the Internet. The website address for both forms is
Public disclosure by the organization. Exempt or political organizations must make their returns, reports, notices, and exempt applications
available for public inspection. You can visit the organization to inspect the material instead of requesting it from the IRS. The organization may be
able to mail the copies to you.
Form 990-N (e-Postcard) annual electronic notice is available for inspection on IRS.gov using Exempt Organization Select Check (see instructions).
1 Exempt or political organization. Complete a separate Form 4506-A for each organization.
Name
Employer identification number
Address
City or town, state or province, country, and ZIP or foreign postal code
2 Requester
Name
Contact person
Address
Phone
City or town, state or province, country, and ZIP or foreign postal code
Date
3 Category of requester:
Commercial user
Non-commercial scientific institution
Media
You must check a box.
Name of Media Outlet
Educational institution
All others
4 Reason for request. All requesters except for commercial users must provide an explanation of how the records will be used to avoid being
charged the commercial rate. Attach additional sheets if necessary.
Lines 5–9. For each applicable form, check the box(es) for the item(s) you are requesting. You may request more than one form. For each form
requested, check either the copy, inspection, DVD, or Sample DVD box and enter the specific tax year(s), as indicated. If ordering a partial set on DVD
or Sample DVD, indicate the format, state(s), and month(s) requested.
Note. DVD and Sample DVD are not available for individual exempt organizations.
5
b DVD request:
Form 990, Form 990-EZ:
DVD
Sample DVD
a Paper request:
Copy
Inspection
Format:
Alchemy
Raw
;
;
.
;
;
.
Tax year(s) or period(s) requested:
State(s):
Calendar year(s):
;
;
.
YYYYMM
YYYYMM
YYYYMM
6
Form 990-PF:
b DVD request:
DVD
Sample DVD
a Paper request:
Copy
Inspection
Format:
Alchemy
Raw
;
;
.
;
;
.
Tax year(s) or period(s) requested:
State(s):
Calendar year(s):
;
;
.
YYYYMM
YYYYMM
YYYYMM
7
Form 990-T (501(c)(3) organizations filed after August 17, 2006):
b DVD request:
DVD
Sample DVD
a Paper request:
Copy
Inspection
Format:
Alchemy
Raw
;
;
.
;
;
.
Tax year(s) or period(s) requested:
State(s):
;
;
.
YYYYMM
YYYYMM
YYYYMM
Calendar year(s):
8
Form 5227 (for tax years beginning after December 31, 2006):
Form 1023
Form 1024
Determination Letter
9
Paper request:
Copy
Inspection
Updated Determination Letter
;
;
.
Tax year(s) or period(s) requested:
YYYYMM
YYYYMM
YYYYMM
IRS Use Only
The form requested above was inspected by (name of requester)
IRS office where inspection was made
Date
Signature of employee present at inspection
4506-A
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Form
(Rev. 8-2014)
Cat. No. 41722P

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