NATIONAL PEACE CORPS ASSOCIATION 58-1431113JIM SOLOMONBOARD MEMBER1 0 . 0 . 0 .ROBERT C . TERRY BOARD MEMBER1 0 . 0 . 0 .DAVID WESSELBOARD MEMBER1 0 . 0 . 0 .JUDITH WHITNEYBOARD MEMBER1 0 . 0 . 0 .ANGENE H . WILSON BOARD MEMBER1 0 . 0 . 0 .SHERRY ZEMBOWERBOARD MEMBER1 0 . 0 . 0 .PETER JOHNSONHONORARY BOARD MEMBER1 0 . 0 . 0 .TOTALS INCLUDED ON FORM 990, PART V88,497 . 3,794 . 0 .22 STATEMENT S) 912210914 745960 24116 2003 .06020 NATIONAL PEACE CORPS ASSOCI 24116 1
Form 8868(12-2000) Page 20 If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box . . . _ ._Note : Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868 .0 Ifyou are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).Part II Additional (not automatic) 3-Month Extension <strong>of</strong> Time - Must file Original and One Copy .Type orName <strong>of</strong> <strong>Exempt</strong> <strong>Organization</strong>Employer identification numberprint .NATIONAL PEACE CORPS ASSOCIATION 58-1431113File by theextended Number, street, and room or suite no . If a P .O . box, see instructions For IRS use onlydua date for1900 L STREET N . W .filing theNO . 205return see City, town or post <strong>of</strong>fice, state, and ZIP code. For a foreign address, see instructions .instructions WASHINGTON , DC 20036Check type <strong>of</strong> return to be filed (File a separate application for each return) :Form 990 [::] Form 990-EZ 0 Form 990-T (sec. 401(a) or 408(a) trust) E~:] Form 1041-A E] Form 5227 ~ Form 8870Form 990-BL E] Form 990-PF E] Form 990-T (trust other than above) F I Form 4720 E] Form 6069STOP : Do not complete Part II if you were not alrea dy gr anted an automatic 3-month extension on a previously filed Form 8868 ." If the organization does not have an <strong>of</strong>fice or place <strong>of</strong> business in the United States, check this box . . . . . . _ . . . * ED" .f this is fir a Group <strong>Return</strong>, ester the organization's four digit Group <strong>Exempt</strong>ion Number (GEN) If this is for the whole group, cheek thisbox loo- 0 . If it is for part <strong>of</strong> the group, check this box 1 0 and attach a list with the names and EINs <strong>of</strong> all members the extension is for .4 I request an additional 3-month extension <strong>of</strong> time until NOVEMBER 15, 2004 .For calendar year 2 0 0 3 , or other tax year beginning -^^d-°^~'6 If this tax year is for less than 12 months, check reason . 0 Indial return =1 Final return ~ Change in accounting penod7 State m detail why you need the extensionADDITIONAL TIME IS NEEDED FOR PREPARING A COMPLETE AND ACCURATE RETURNSa If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less anynonrefundable credits See instructionsbIf this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimatedtax payments made. Include any prior year overpayment allowed as a credit and any amount paidpreviously with Form 8868 $c Balance Due . Subtract line 8b from line 8a Include your payment with this form, or, if required, deposit with FTDcoupon or, if required, by using EFTPS (Electronic Federal <strong>Tax</strong> Payment System) . See instructions $ N/ASignature and VerificationUnder penalties <strong>of</strong> perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best <strong>of</strong> my knowledge and belief,it is true, correct, an complete, and that I am ut or¢ed to prepare this form .Signature 1 ~3 `1J ~ Title 1 en-P A, Date 1Notice to Applicant - To Be Completed by the IRS~I We have approved this application . Please attach this form to the organization's return .We have not approved this application . However, we have granted a 10-day grace period from the later <strong>of</strong> the date shown below or the duedate <strong>of</strong> the organization's return (including any pnor extensions) . This grace period is considered to be a valid extension <strong>of</strong> time for electionsotherwise required to be made on a timely return . Please attach this form to the organization's return .0 We have not approved this application . After considering the reasons stated in item 7, we cannot r request for an extension <strong>of</strong> time t<strong>of</strong>ile . We are not granting the 10-day grace period O1y p~1~"~,~)~/~0 We cannot consider this application because ft was filed after the due date <strong>of</strong> the return for which an extension was request ~~u'DirectorOtherBY-W %N u~~lu~FAlternate Mailing Address - Enter the address if you want the copy <strong>of</strong> this application for an additional 3-month extensidifferent than the one entered above .Name'~~an addressType Number and street (include suite, room, or apt. no .) Or a P.O . box numberor print14550 MONTGOMERY AVE., SUITE 650 NORTfCity or town, province or state, and country (including postal or ZIP code)os3o oa I BETHESDA , MARYLAND 20814-2930Form 8868 (12-2000)2308470722 745960 24116 2003 .05040 NATIONAL PEACE CORPS ASSOCI 24116-1
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