Orange County NC Website
Form 8868 Application for Automatic Extension of Time To File an <br /> (Rev.January2020) Exempt Organization Return <br /> OMB No.1545-0047 <br /> Department of the Treasury ►File a separate application for each return. <br /> Internal Revenue Service ►Go to www.irs.gov/Form8868 for the latest information. <br /> Electronic filing(e-file). You can electronically file Form 8868 to request a 6-month automatic extension of time to file any of the <br /> forms listed below with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit <br /> Contracts,for which an extension request must be sent to the IRS in paper format(see instructions). For more details on the electronic <br /> filing of this form,visit t ww.irs.gov/e-file-providers/e-file-for-charities-and-non-profits. <br /> Automatic 6-Month Extension of Time. Only submit original (no copies needed). <br /> All corporations required to file an income tax return other than Form 990-T(including 1120-C filers),partnerships,REMICs,and trusts <br /> must use Form 7004 to request an extension of time to file income tax returns. <br /> Type or Name of exempt organization or other filer,see instructions. Taxpayer identification number(TIN) <br /> print <br /> PIEDMONT WILDLIFE CENTER INC. <br /> File by the <br /> due date for Number,street,and room or suite no. If a P.O.box,see instructions. <br /> filing your 364 LE I GH FARM RD. <br /> return.See <br /> instructions. City,town or post office,state,and ZIP code. For a foreign address,see instructions. <br /> DURHAM, NC 27707 <br /> Enter the Return Code for the return that this application is for(file a separate application for each return) 0 1 <br /> ................................................... <br /> Application Return Application Return <br /> Is For Code Is For Code <br /> Form 990 or Form 990-EZ 01 Form 990-T(corporation) 07 <br /> Form 990-BL 02 Form 1041-A 08 <br /> Form 4720 individual 03 Form 4720 other than individual 09 <br /> Form 990-PF 04 Form 5227 10 <br /> Form 990-T sec.401 a or 408 a trust 05 Form 6069 11 <br /> Form 990-T trust other than above 06 Form 8870 12 <br /> THE ORGANIZATION <br /> • The books are in the care of ► 364 LE I GH FARM RD. — DURHAM, NC 27707 <br /> Telephone No.► 919-4 8 9-0 9 0 0 Fax No. ► <br /> • If the organization does not have an office or place of business in the United States,check this box ___________________________________________________ ► 0 <br /> • If this is for a Group Return,enter the organization's four digit Group Exemption Number(GEN) .If this is for the whole group,check this <br /> box ► 0 .If it is for part of the group,check this box ►0 and attach a list with the names and TINS of all members the extension is for. <br /> 1 I request an automatic 6-month extension of time until MAY 16 , 2022 to file the exempt organization return for <br /> the organization named above.The extension is for the organization's return for: <br /> ►0 calendar year or <br /> ►FX I tax year beginning JUL 1 , 2020 ,and ending JUN 30 , 2021 <br /> 2 If the tax year entered in line 1 is for less than 12 months,check reason: 0 Initial return 0 Final return <br /> 0 Change in accounting period <br /> 3a If this application is for Forms 990-BL,990-PF,990-T,4720,or 6069,enter the tentative tax,less <br /> any nonrefundable credits.See instructions. 3a $ 0 . <br /> b If this application is for Forms 990-PF,990-T,4720,or 6069,enter any refundable credits and <br /> estimated tax payments made. Include any prior year overpayment allowed as a credit. 3b $ 0 . <br /> c Balance due.Subtract line 3b from line 3a. Include your payment with this form,if required,by <br /> using EFTPS Electronic Federal Tax Payment System).See instructions. 3c I $ 0 . <br /> Caution: If you are going to make an electronic funds withdrawal(direct debit)with this Form 8868,see Form 8453-EO and Form 8879-EO for payment <br /> instructions. <br /> LHA For Privacy Act and Paperwork Reduction Act Notice,see instructions. Form 8868(Rev. 1-2020) <br /> 023841 04-01-20 <br />