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ten" $72-C Ass Consent Fixing Period of Limitation Upon OM9 No.1545-MG <br /> Assessment of Tax Under Section 4940 of the <br /> iRev.Juiy 1M Internal Revenue Code <br /> To be uasd rriltf <br /> Form ion Submit <br /> 0"WW e 4 of u»T1"2xy In duplicate. <br /> ire •s«v�= (See instructions on reverse side.) <br /> Under section 6501(c)(4) of the Internal Revenue Code, and as part of a request filed with Form 1023 that th <br /> organization named below be treated as a publicly supported organization under section 170(bX1)(A)(vi) or sectio <br /> 509(a)(2) during an advance ruling period, <br /> 3W--? mtz, il}rt.... ... ......... <br /> t>:iraet Hams of organiatian as:'now►,in argara�nQ doeenq r bistrict Director of <br /> Internal Revenue, or <br /> 705 A Wes and the Assistant <br /> ................ Commissioner <br /> (Number,stntst city or towy%state,and ZIP code) <br /> (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 5 <br /> tax years in the advance ruling period will extend 8 years.4 months, and 15 days beyond the end of the first taa <br /> yea <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 .12-.3179-6 ........ <br /> ONantA dai..aW year] <br /> i <br /> i <br /> Name of organization(as shown in organizing document) Date <br /> F61ward Cha= <br /> Officer or trustee having typo p <br /> Signature ► Title li"Board Chair <br /> For IRS use only <br /> District Director or,Assistant Commissioner(Employee Plans and Exempt Organizations) Date <br /> C. Ashley Bullard, District; Director <br /> By }► roup Manager <br /> For Paporwvo&Reduction Act Notice,see page 1 of the Forth 1=Instructions. Cat No. 169050 <br />