Form Fr-164 - Application For Exemption (Page 2 of 3) in pdf

Form Fr-164 - Application For Exemption Page 2

Ye s

N o

10a. Does the organization control or is it controlled

I f “ Ye s ” , a t tach an explanation.

by any other organization?

I f “ Ye s ” , a t tach an explanation.

b . Is the organization the outgrowth of (or succes-

Ye s

N o

sor to) another organization, or does it have a

special relationship with another organization by

reason of interlocking directorates or other factors?

Ye s

N o

I f “ Ye s ” , a t tach a statement indicating the locations.

c . Other than a statutory office, do you maintain

regular places of business outside the District?

Ye s

N o

d .

I f “ Ye s ” , a t tach an explanation of the nature of the organization’s unre-

Does the organization report any unrelated

lated business activities or provide a copy of the latest filed Form 990T.

business income on Form 990T to the IRS?

Does the organization file a Form 1120POL U.S.

Ye s

N o

I f “ Ye s ” , a t tach an explanation of the nature of the organization’s p o l i t i c a l

Income Tax Return for Certain Political Organizations

activities and provide a copy of the latest filed Form 1120POL.

with the IRS?

Ye s

N o

f .

D i d t h e o r g a n i z a t i o n e s t a b l i s h a p o l i t i c a l a c t i o n

I f “ Ye s ” , a t tach an explanation of the nature of the organization’s p o l i t i c a l

committee described in section 527(f)(3) of the Internal

activities and provide a copy of the latest filed Form 1120POL.

Revenue Code?

Ye s

N o

Does the organization sell any tangible personal

I f “ Ye s ” , a t tach an explanation of the nature of the organization’s a c t i v i -

property or provide personal services to persons or

t i e s .

organizations located within the District?

Ye s

N o

I f “ Yes”, did the organization file an appropriate sales & use tax return

Did the organization purchase any tangible

with the District? If no please attach an explanation.

personal property outside the District for use in the

D i s t r i c t ?

Form Fr-164 - Application For Exemption Page 2

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