Form 4506-A(Rev. July 2013)

Department of the Treasury Internal Revenue Service

Request for Public Inspection or Copy of Exempt or Political Organization IRS Form Type or print clearly. Request may be rejected if the form is incomplete or illegible. Information about Form 4506-A and its separate instructions is at www.irs.gov/form4506.

OMB No. 1545-0495

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 www.irs.gov/polorgs.

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: You must check a box.

Commercial user Non-commercial scientific institution Media 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 59. 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, CD/DVD, or Sample CD/DVD box and enter the specific tax year(s), as indicated. If ordering a partial set on CD/DVD or Sample CD/DVD, indicate the format, state(s), and month(s) requested.

Note. CD/DVD and Sample CD/DVD are not available for individual exempt organizations.

5 Form 990, Form 990-EZ:

a Paper request: Copy Inspection

Tax year(s) or period(s) requested:

YYYYMM

;

YYYYMM

;

YYYYMM

.

b CD/DVD request: CD/DVD Sample CD/DVD

Format: Alchemy Raw

State(s): ; ; .

Calendar year(s): ; ; .

6 Form 990-PF:

a Paper request: Copy Inspection

Tax year(s) or period(s) requested:

YYYYMM

;

YYYYMM

;

YYYYMM

.

b CD/DVD request: CD/DVD Sample CD/DVD

Format: Alchemy Raw

State(s): ; ; .

Calendar year(s): ; ; .

7 Form 990-T (501(c)(3) organizations filed after August 17, 2006):

a Paper request: Copy Inspection

Tax year(s) or period(s) requested:

YYYYMM

;

YYYYMM

;

YYYYMM

.

b CD/DVD request: CD/DVD Sample CD/DVD

Format: Alchemy Raw

State(s): ; ; .

Calendar year(s): ; ; .

8 Form 5227 (for tax years beginning after December 31, 2006):

Paper request: Copy Inspection

Tax year(s) or period(s) requested:

YYYYMM

;

YYYYMM

;

YYYYMM

.

9 Form 1023 Form 1024 Determination Letter

Updated Determination Letter

IRS Use Only The form requested above was inspected by (name of requester) IRS office where inspection was made

Signature of employee present at inspection Date

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 41722P Form 4506-A (Rev. 7-2013)

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