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Form   4506-A               Request for a Copy of Exempt or Political Organization 
(December 2019)                                                               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/form4506.
       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 Tax Exempt Organization Search (see instructions).
•    Machine Readable Data: Efiled Forms 990, 990-EZ, and 990-PF are available on Amazon Web Services (AWS) and IRS.gov Tax Exempt Organization 
     Search (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 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 5–8.   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 digital data and enter the specific tax year(s), as indicated. If ordering a partial set in digital data or Sample 
digital data, 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. 
Line 9. Check the box(es) for the item(s) you are requesting. You may request more than one item. If you check “other,” you must indicate the specific 
item(s) you are requesting on the line provided or on an attachment. See instructions for more information. 
Note. Digital data and Sample digital data are not available for individual exempt organizations. Sample digital data requests are not available for 
individual states.
 5   Form 990, Form 990-EZ:                                                              b Digital data 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 Digital data 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 Digital data 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):                      9          Application for exemption (Form 1023, 1023-EZ, 
 a   Paper request                                                                                Form 1024, etc.)
     Tax year(s) or period(s) requested:         ;           ;                .                   Exemption determination letter only
                                     YYYYMM        YYYYMM      YYYYMM                             Affirmation letter
 b   Other Form(s)                                                                                Other
     Tax year(s) or period(s) requested:         ;           ;                .
                                     YYYYMM        YYYYMM      YYYYMM

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.         Cat. No. 41722P                Form 4506-A (Rev. 12-2019) 






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