Return of Organization Exempt From Income Tax ... - Peace Corps Wiki

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 of Time - Must file Original and One Copy .Type orName of Exempt OrganizationEmployer 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 office, state, and ZIP code. For a foreign address, see instructions .instructions WASHINGTON , DC 20036Check type of 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 office or place of business in the United States, check this box . . . . . . _ . . . * ED" .f this is fir a Group Return, ester the organization's four digit Group Exemption Number (GEN) If this is for the whole group, cheek thisbox loo- 0 . If it is for part of the group, check this box 1 0 and attach a list with the names and EINs of all members the extension is for .4 I request an additional 3-month extension of 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 Tax Payment System) . See instructions $ N/ASignature and VerificationUnder penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of 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 of the date shown below or the duedate of the organization's return (including any pnor extensions) . This grace period is considered to be a valid extension of 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 of time tofile . 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 of 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 of 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