Free Form 4506-A (Rev. March 2009) - Federal

Form

4506-A

(Rev. March 2009)
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.

OMB No. 1545-0495

TIP

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 and printing 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.
1 Exempt or political organization. If a multiple request, please attach list of names, forms, and tax years.
Name Employer identification number (if known)

Address

City or town, state, and ZIP code

2 Requester
Name Contact person

Address

Phone ( ) Date

City or town, state, and ZIP code

3 Category of requester: Commercial user Non-commercial scientific institution You must check a box. Educational institution Media 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, or CD/DVD box and enter the specific tax year(s), as indicated. If ordering a partial set on CD/DVD, indicate the format, state(s), and month(s) requested. 5 Form 990, Form 990-EZ Copy Inspection ; ; . Tax year(s) requested: 6 Form 990-PF Copy Inspection ; ; . Tax year(s) requested: CD/DVD Format: State(s): Months: CD/DVD Format: State(s): Months: CD/DVD Format: State(s): ; ; . Months: Alchemy ; ; Alchemy ; ; Alchemy ; ; Raw ; ; . . Raw ; ; . . Raw ; ; . .

7 Form 990-T (501(c)(3) organizations filed after August 17, 2006) Copy Inspection Tax year(s) requested:

8 Form 5227 (for tax years beginning after December 31, 2006) Copy Inspection ; ; . Tax year(s) requested:

9 Form 1023, 1024 or Determination Letter Copy Inspection ; ; . Tax year(s) requested:

IRS Use Only
The form requested above was inspected by (name of requester) Signature of employee present at inspection IRS office where inspection was made Date

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 41722P

Form

4506-A

(Rev. 3-2009)