Form 4506 a 2017

Form 4506-A July 2017 Department of the Treasury Internal Revenue Service OMB No. 1545-0495 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. Request for Public Inspection or Copy of Exempt or Political Organization IRS Form You may not have to complete Form 4506-A to get the copies you need. Internet. 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 Contact person Phone Date Commercial user Non-commercial scientific institution Media 3 Category of requester Name of Media Outlet You must check a box. 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. 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. Form 990 Form 990-EZ Copy Inspection a Paper request Tax year s or period s requested YYYYMM Form 990-PF b DVD request DVD Format Alchemy State s Calendar year s. Form 990-T 501 c 3 organizations filed after August 17 2006 Sample DVD Raw Form 5227 for tax years beginning after December 31 2006 Form 1023 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 For Privacy Act and Paperwork Reduction Act Notice see the separate instructions. 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.