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Form 4506-A Request for a Copy of Exempt or Political Organization
(November 2021) IRS Form OMB No. 1545-0495
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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)