Form   4506-B                      Request for a Copy of Exempt Organization  
(November 2021)                                    IRS Application or Letter                                                 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-B and its separate instructions is at www.irs.gov/form4506ab.
       Exempt organization determination letters issued 2014 and subsequent are available for inspection at www.irs.gov/teos 
       (see instructions).
•   Internet.  Form  8871,  Political  Organization  Notice  of  Section  527  Status,  and Form  8872, Political  Organization  Report  of  Contributions  and 
    Expenditures, are available for inspection at 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 provide copies to you. 
 1 Requester.
    First name                                                            Last name

    Phone                                                                 Date 

    Street address line 1                                                 Street address line 2

    City or town                          State or province               Country                                       ZIP or foreign postal code

 2 Exempt organization. Complete a separate Form 4506-B for each organization.
    Name                                                                                                                Employer identification number 

    Street address line 1                                                 Street address line 2

    City or town                          State or province               Country                                       ZIP or foreign postal code

 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.

 5  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 lines provided. See instructions for more information.
       Application for exemption (Forms 1023, 1023-EZ, 1024, 1024-A, etc.)
       Exemption determination letter only
       Affirmation letter
       Other

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For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.          Catalog Number 41723A       Form 4506-B (Rev. 11-2021)