Form 3502 - California Nonprofit Corporation Request For Pre-Dissolution Tax Abatement - 2015

Nonprofit Corporation

CALIFORNIA FORM

TAXABLE YEAR

3502

Request for Pre-Dissolution Tax Abatement

2015

California Corporation number/California Secretary of State file number

FEIN

-

Name of organization as shown in the creating document

Street address (suite, room, or PMB no.)

Telephone

-

(

)

City

State

ZIP code

-

Name of representative to contact regarding additional requirements or information

Telephone

-

(

)

Representative’s mailing address (suite, room, or PMB no.)

City

State

ZIP code

-

Questions

m

m

1

Are you currently doing business in California according to R&TC Section 23101? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Yes

No

m

m

2

Was the organization ever tax-exempt with the California Franchise Tax Board? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Yes

No

m

m

3

Was the organization ever tax-exempt with the Internal Revenue Service? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Yes

No

m

m

4

Did the organization ever operate in California? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Yes

No

If Yes, list the date the operations stopped in California (mm/dd/yyyy)

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m

5

Will the organization continue to operate outside of California? If yes, STOP do not file this form . . . . . . . . . . . . . . . . . . . . . 5

Yes

No

m

m

6

Does the organization have any undistributed assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Yes

No

If yes, list description and value of assets

Description

Value of asset

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m

7

Did the organization distribute its assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Yes

No

If yes, list the description and value of the asset and the FEIN/SSN, name, telephone, and address of the recipient .

Description

Value

FEIN/SSN

Name

Telephone

Address

To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to

ftb.ca.gov and search for privacy notice. To request this notice by mail, call 800.852.5711. Under penalties of perjury, I hereby declare that I have

examined this form and to the best of my knowledge and belief, it is true, correct, and complete.

Signature of officer, director, or authorized representative

Title

Date

FTB 3502

(NEW 2015)

8501153

C1