Form 3500a - California Submission Of Exemption Request Page 2

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Part III — Purpose and Activity
1
Exemption based on IRC 501(c)(3) Federal Determination Letter
Check the organization’s primary purpose and activity:
m
m
m
m
m
Charitable
Educational
Literary
Prevent cruelty to animals
Prevent cruelty to children
m
m
m
m
m
Testing for public safety
Religious
Scientific
Church
School
m
m
m
Hospital
Health care center
Qualified sports organization
2
Exemption based on IRC 501(c)(4) Federal Determination Letter
Check the organization’s primary purpose and activity:
m
m
m
m
m
Civic league
Local association of
Social welfare
Service clubs
Veterans
employees
m
m
m
m
m
Legislative activities
Festival organizations
Municipal building
Police, sheriff,
Quasi governmental
corporation
volunteer firemen
association
3
Exemption based on IRC 501(c)(5) Federal Determination Letter
Check the organization’s primary purpose and activity:
m
m
m
m
m
Agriculture
Horticulture
Labor
Agriculture or horticulture county fair
Public employees union
m
m
m
m
AFL-CIO
Independent
Transportation
Teamsters
workers
4
Exemption based on IRC 501(c)(6) Federal Determination Letter
Check the organization’s primary purpose and activity:
m
m
m
m
m
Board of trade
Business league
Chamber of commerce
Real estate board
Professional association or society
5
Exemption based on IRC 501(c)(7) Federal Determination Letter
Check the organization’s primary purpose and activity:
m
m
m
m
m
Social and recreational
Golf club
Camps
Fraternity or sorority
Dog or horse club
m
m
m
m
Car, motorcycle,
Hunting or
Common recreational
Flying or airplane club
trailer club
fishing club
area
FTB 3500A
2015 Page 2
C1
8092153

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