Orange County NC Website
0.,, gBTg-EO <br />Deparlment of the Treasury <br />lnternal Bevenue Service <br />I R S. e-file Signatule AuthorizationIor an Exempt Organization <br />For calendar year 2020. or fiscal year beginning , 2020, and ending ,20 <br />Do not send to the lBS, Keep for your records. <br />for theGo <br />OMB No. 1545-0047 <br />2020 <br />number <br />Nameofexe@ <br />REBUILDTNG TOGETHER OF THE TRTANGLE <br />Nanre and title of officer or ilerson sUbject to taxDAN SARGENT <br />axpayer <br />s6-195s629 <br />XECUTIVE DTRECTOR <br />ype of Beturn <br />N,"""Ty!g l,l?-'""y,j:l:"ly:g:-Td (:lil " o;19 ;r *y;Ei,,ia ii,pbil',li,,i <br />fln?i,il: l:j,:l:,:Xl*n:i:'.,1g:,;[il ;;;;' (d;;i',o"Erir' Ll,iviB,software for payment of the federaitr*". o*Li b, irii. <br />1p3y,11"I-tr,I must,contacr rhe U.S. Treasury Financiat(settiement) date. I atso rut oriiel.,e ri"""JJr'i"iiiiriiJ,'. <br />PIN: check one box only <br />[X] I ar:u'rorize KOONCE WOOTEN & HAYWOOD LLP <br />Form ggOcheck here > tX=] q rotar revenue, if any(Form 990, partVilr, corumn (A), rine l2)Form 99o-EZ check here > t] b Total revenue, if any (Form 990-EZ, line 9)Form 'l 120-POL check here > t] b Totat tax (Form 1120.pOL, tine 22) ..........Form 99o-PF check here > f] b rax based on investment income (Form 990.pF, part Vl, line 5)Form 8868 check here > t] b Balance due (Form 8868, line 3c) <br />Dollars <br />ChecktheboXforthereturnforwhichyouareusingthisFormB879'Eo,nount", <br />:::j ]:: j:1,::,1:^' .,:,::, ::, :?, 2?, ??, or la below, and the amount on that rjne for rhe return beins filed with rhis form wasblank, then leave rine rb, 2b,3b,4b, sb, 6b, or 7b, whichever is appricabre, br"rk i;;;;;il;;l) ffi, ;;:T;T:['J:J::T-X:return, then enter'0-on the applicable lir-re below. Do not complete more than one line in part l. <br />1a <br />2a <br />3a <br />4a <br />5a <br />6a <br />7a <br />1b <br />2b <br />3b <br />4b <br />5b <br />6b <br />4s4 825. <br />::::::::::::ii:1" - <br />tS : l'oltax (Form eeo r' part rrr, rine 4) <br />or to TaxUnder penalties of perjury, I declare that I am an officer of the above organization or I am a person subject to tax wrth respect to(name of organization) <br />, (ElN)........- and that I have examined a copy <br />l'J';f"";ii3'"ii*'filH5i"'l:xg.l;,:Isx*:l'i:r""jfij: :ifl:piy: q]!J",lff ??:.'.""]f,'"i","# :38;3??n?"J'3';,',,1",',"',.,",,,." <br />1"':J"T[i?"1]1",H"1x{l:r::i:n::ixiii:"""}j:? *::n l,,"rliii{ii:it *[,?,i]ffi:,'JiHil"1i:i""::',I8i:?ff ffi'.?,"-s:{!r uu,serr r0 arow mv rntermedrate service provider. transmitter, or erectronic return origl?lg:giy" from the tRS (a)an acl.ro*teJgJmi;ioiot"ipt or reason for reiecrion of the <br />N,^".""",?lg 1,1?^'"^r^,,I o,, i"lrig. nld (g) r6e dare or *y ,Ei*o. ii"u"ppii.r'oi,J,"l'ulinor,iru <br />ionrioenliir inioi'",jioi;;UJ#;i;^;ij3*#ii.];li;:"t!liJS"li:S gJl:". ?Jffiffili:fJ fX"r;]ffi:i?:f",JJ."Jl.3r <br />taxes to .e'ceive <br />rdentifrcation number (PlN) as my signature for the electroni"ieirin-rn,rliiii6priijor", the consent to erectronie fr rnrrq ra,iiherrarn,-r <br />b) the reason for any delay in <br />ry and its designated Financial <br />rnt indicated in the lax preparation <br />the entry 1o this account. [o revol,to this account. io revoke <br />busrness d6ys prlor to the payment <br />, the consent to electronic funbs withdrawal <br />to enter my PIN 548 <br />iTil,l li*iTliil;i" <br />as my signature on the tax year2020 electronicallyflled return. lf lhave rndicated within this return that a copy of the return is being tjled with <br />I il* nJ.:;J;.]::::H;,r"".[T.:n::,::X ", the rBS Fed/state prosram, I arso authorize the aforementjoned ERo to enter my <br />fl et an officer or person subiect to tax with respect to the organization, I will enter my plN as my signature on the tax year 2ozoelectronically filed return lf I have indicated within this return that a copy of the return is being fileJ wrth a state agency(ies)regulating charities as pad of the IRS Fed/state program, I will enter myplN on the return,s djsclosure consent screen. <br />ERO lirm name <br />ERO's EFIN/PlN. Enter your sjx.digit electronic filing identification <br />number (EFIN) followed by your five digit self.selected ptN.55e2s254821 <br />Do nol enter all zeros <br />f,",i yjillJ:"-;::i::i:::: :'ll^::":r^:lTr,yj::! . mv sisnarureon the 2o2o erectronicaily rired return indicated above r conrirmthat I am submittins this retLrrn tn accordance with the requirements or pub. .ru;,;;";];:iffi l;j:l; [fl:;t",L:?:ffi:?lt$IRS e-l/e Providers for Business Returns. <br />EB0's signature ) <br />Date )vqtv T <br />Do Not Submit rhis Form to the rRS Unress Requested ro Do So <br />LHA For Our"r*@ <br />023051 11-03-20 <br />DocuSign Envelope ID: E86DD11C-7C3F-4DD6-97F0-CADB5D52D35A