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Form 4506-A Request for a Copy of Exempt or Political Organization
(December 2019) 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/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)