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Form   4506-A                Request for a Copy of Exempt or Political Organization 
(November 2021)                                                             IRS Form                                            OMB No. 1545-0495
                               ▶
Department of the Treasury        Type or print clearly. Request may be rejected if the form is incomplete or illegible.
Internal Revenue Service    ▶  Information about Form 4506-A and its separate instructions is at www.irs.gov/form4506ab.
       You may not have to complete Form 4506-A to get the copies you need. 
•    The following returns can be found online: Form 8871 and Form 8872 at www.irs.gov/polorgs; Form         990, Form 990-EZ, Form 990-PF and 
      Form 990-T at Tax Exempt Organization Search (TEOS) www.irs.gov/teos.
•   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 provide copies to you. 
•     Form 990-N (e-Postcard) annual electronic notice is available for inspection at www.irs.gov/teos.
•     Machine Readable Data: E-filed Forms 990, 990-EZ and 990-PF are available at www.irs.gov/teos (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:           Commercial user           Non-commercial scientific institution         Media 
   You must check a box.             Educational institution   All others                                                Name of media outlet 
 4  Reason  for  request.  All  requesters,  except  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  5–8.  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, complete either the paper or USB and enter the specific tax year(s), as indicated. If ordering a partial set in USB or Sample USB, indicate 
the  state(s),  and  month(s)  requested.  If  you  check  “other”  you  must  indicate  the  specific  form(s)  you  are  requesting  on  the  line  provided.  See 
instructions for more information.  
Note. USB and Sample USB are not available for individual exempt organizations. Sample USB requests are not available for individual states.
 5    Form 990, Form 990-EZ:                                                          b    USB request:                  Yearly       Sample
 a    Paper request                                                                        State(s):                   ;        ; 
      Tax year(s) or period(s) requested:       ;            ;                             Calendar year(s):             ;            ; 
                                        YYYYMM    YYYYMM       YYYYMM
 6    Form 990-PF:                                                                    b    USB request:                  Yearly       Sample
 a    Paper request                                                                        State(s):                   ;        ; 
      Tax year(s) or period(s) requested:       ;            ;                             Calendar year(s):             ;            ; 
                                        YYYYMM    YYYYMM       YYYYMM
 7    Form 990-T (501(c)(3) organizations filed after August 17, 2006):               b    USB request:                  Yearly       Sample
 a    Paper request                                                                        State(s):                   ;        ; 
      Tax year(s) or period(s) requested:       ;            ;                             Calendar year(s):             ;            ; 
                                        YYYYMM    YYYYMM       YYYYMM
 8    Form 5227 (for tax years beginning after December 31, 2006): 
 a    Paper request 
      Tax year(s) or period(s) requested:       ;            ;
                                        YYYYMM    YYYYMM       YYYYMM
 b    Other form(s) 
      Tax year(s) or period(s) requested:       ;            ;
                                        YYYYMM    YYYYMM       YYYYMM

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.    Catalog Number 41722P              Form 4506-A (Rev. 11-2021) 






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