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F. 872-C , Consent Fixing Period of Limitation Upon a,B No 1645 <br /> Assessment of Talc Under Section 4944 of the _ <br /> fte„ July 1994 Internal Revenue Code ' To be UNW with <br /> Form 1023.swat <br /> 0"Wenwp d 1.4 Trwery iA duplicate. <br /> Lownst Revenue A "Ge (.See instructions on reverse side.) <br /> Under section 6501(cX4) of the internal Revenue Cade, and as part of a request filed with Form 1023 that tt <br /> organization named below be treated as a publicly supported organization under section 170(b)(1)(A)(v) or sectic <br /> 509(a)(2)during an advance ruling period, <br /> ftP : mt . .Inr.,....................... ..... .......... ._., ._.......------ D <br /> . . . ..... .. <br /> t �n�of A ,n as „ , 0 istrict Director of <br /> Internal Revenue, or <br /> and the Assistant <br /> 705 A West <br /> ...............•--..�96?��:Y.-��1s6�1~...5�6��K}�Qa..IY�. . 1 <br /> ................. <br /> ,street city or town,state,and Z1P code) (Employee Plans and <br /> Exempt Organizations) <br /> Consent and agree that the period for assessing tax (imposed under section 4940 of the Code) for any of the S <br /> tax years in the advance ruling period will extend 8 years, 4 months, and 15 days beyond the end of the first tau <br /> year. <br /> However, if a notice of deficiency in tax for any of these years is sent to the organization before the period <br /> expires, the time for making an assessment will be further extended by the number of days the assessment is <br /> prohibited, plus 60 days. <br /> Ending date of first tax year .127-3179.6 ....... <br /> pucnM.day aid y* j- <br /> Name of organization (as shown in organizing document) Date <br /> Mward ~ <br /> Officer or bustee having ty to sign !� <br /> Signature 00 ~' �-` ` Title ► <br /> For IRS use only <br /> District Director or Assistant Commissioner(Employee Plans and Exempt Organizations) Date <br /> C. Ashley Bullard, District Director <br /> B ► roup Manager <br /> For Paper”Reduction Act Notice,see page t of the Form 1=huftictions. cat.No.isoma <br />