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OMB No. 1545-0057
Application for Recognition of Exemption
Under Section 501(a)
Form 1024
If exempt status is approved,
this application will be open
for public inspection.
(Rev. September 1998)
Department of the Treasury
Internal Revenue Service
Read the instructions for each Part carefully. A User Fee must be attached to this application.
If the required information and appropriate documents are not submitted along with Form 8718 (with payment
of the appropriate user fee), the application may be returned to the organization.
Complete the Procedural Checklist on page 6 of the instructions.
Part I. Identification of Applicant (Must be completed by all applicants; also complete appropriate schedule.)
Check the appropriate box below to indicate the section under which the organization is applying:
Section 501(c)(2)—Title holding corporations (Schedule A, page 7)a
Section 501(c)(4)—Civic leagues, social welfare organizations (including certain war veterans’ organizations), or local associations of
employees (Schedule B, page 8)
b
Section 501(c)(5)—Labor, agricultural, or horticultural organizations (Schedule C, page 9)c
Section 501(c)(6)—Business leagues, chambers of commerce, etc. (Schedule C, page 9)d
Section 501(c)(7)—Social clubs (Schedule D, page 11)e
Section 501(c)(8)—Fraternal beneficiary societies, etc., providing life, sick, accident, or other benefits to members (Schedule E, page 13)
f
Section 501(c)(9)—Voluntary employees’ beneficiary associations (Parts I through IV and Schedule F, page 14)g
Section 501(c)(10)—Domestic fraternal societies, orders, etc., not providing life, sick, accident, or other benefits (Schedule E, page 13)h
Section 501(c)(12)—Benevolent life insurance associations, mutual ditch or irrigation companies, mutual or cooperative telephone
companies, or like organizations (Schedule G, page 15)
i
Section 501(c)(13)—Cemeteries, crematoria, and like corporations (Schedule H, page 16)j
Section 501(c)(15)—Mutual insurance companies or associations, other than life or marine (Schedule I, page 17)k
Section 501(c)(17)—Trusts providing for the payment of supplemental unemployment compensation benefits (Parts I through IV and Schedule J, page 18)
l
Section 501(c)(19)—A post, organization, auxiliary unit, etc., of past or present members of the Armed Forces of the United States (Schedule K, page 19)
m
n Section 501(c)(25)—Title holding corporations or trusts (Schedule A, page 7)
2
Employer identification number (EIN) (if
none, see Specific Instructions on page 2)
Full name of organization (as shown in organizing document)1a
1b c/o Name (if applicable)
Address (number and street)1c
City, town or post office, state, and ZIP + 4 If you have a foreign address, see Specific
Instructions for Part I, page 2.
1d
Date incorporated or formed5Month the annual accounting period ends4
Did the organization previously apply for recognition of exemption under this Code section or under any other section of the Code?
6
NoYes
If “Yes,” attach an explanation.
Has the organization filed Federal income tax returns or exempt organization information returns?7 NoYes
If “Yes,” state the form numbers, years filed, and Internal Revenue office where filed.
Check the box for the type of organization. ATTACH A CONFORMED COPY OF THE CORRESPONDING ORGANIZING DOCUMENTS TO
THE APPLICATION BEFORE MAILING.
8
Corporation—a
Trust—b
Association—
c
If this is a corporation or an unincorporated association that has not yet adopted bylaws, check here
©
I declare under the penalties of perjury that I am authorized to sign this application on behalf of the above organization, and that I have examined
this application, including the accompanying schedules and attachments, and to the best of my knowledge it is true, correct, and complete.
PLEASE
SIGN
HERE
©
(Date)(Type or print name and title or authority of signer)(Signature)
Submit only the schedule that applies to your organization. Do not submit blank schedules.
3
Name and telephone number of person to be
contacted if additional information is needed
Attach a copy of the Articles of Incorporation (including amendments and restatements) showing approval by the
appropriate state official; also attach a copy of the bylaws.
Attach a copy of the Trust Indenture or Agreement, including all appropriate signatures and dates.
Attach a copy of the Articles of Association, Constitution, or other creating document, with a declaration (see instructions) or
other evidence that the organization was formed by adoption of the document by more than one person. Also include a copy
of the bylaws.
()
Room/Suite
For Paperwork Reduction Act Notice, see page 5 of the instructions.
1e Web site address
Cat. No. 12343K
