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Department of the Treasury <br />Internal Revenue Service <br />File by the <br />due date for <br />filing your <br />return. See <br />instructions. <br />323841 12-22-23 <br /> File a separate application for each return. <br /> Go to www.irs.gov/Form8868 for the latest information. <br />Electronic filing (e-file). <br />Part I - Identification <br />Type or <br />Print <br />Application Is For Return <br />Code <br />Application Is For Return <br />Code <br />Part II - Automatic Extension of Time To File for Exempt Organizations (see instructions) <br />1 <br />2 <br />3a <br /> b <br /> c <br />3a <br />3b <br />3c <br />$ <br />$ <br />$ <br />Balance due. <br />For Privacy Act and Paperwork Reduction Act Notice, see instructions.8868 <br />Form <br />(Rev. January 2024)OMB No. 1545-0047 <br />You can electronically file Form 8868 to request up to a 6-month extension of time to file any of the forms <br />listed below except for Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts. An extension <br />request for Form 8870 must be sent to the IRS in a paper format (see instructions). For more details on the electronic filing of Form <br />8868, visit www.irs.gov/e-file-providers/e-file-for-charities-and-non-profits. <br />Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-TE and Form 8879-TE for payment <br />instructions. <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 />Name of exempt organization, employer, or other filer, see instructions.Taxpayer identification number (TIN) <br />Number, street, and room or suite no. If a P.O. box, see instructions. <br />City, town or post office, state, and ZIP code. For a foreign address, see instructions. <br />Enter the Return Code for the return that this application is for (file a separate application for each return) <br />Form 990 or Form 990-EZ <br />Form 4720 (individual) <br />Form 990-PF <br />01 <br />03 <br />04 <br />05 <br />06 <br />07 <br />08 <br />Form 4720 (other than individual)09 <br />10 <br />11 <br />12 <br />13 <br />14 <br />Form 5227 <br />Form 6069 <br />Form 8870 <br />Form 5330 (individual) <br />Form 990-T (sec. 401(a) or 408(a) trust) <br />Form 990-T (trust other than above) <br />Form 990-T (corporation)Form 5330 (other than individual) <br />Form 1041-A <br />¥After you enter your Return Code, complete either Part II or Part III. Part III, including signature, is applicable only for an extension of <br />¥ <br />time to file Form 5330. <br />If this application is for an extension of time to file Form 5330, you must enter the following information. <br />Plan Name <br />Plan Number <br />Plan Year Ending (MM/DD/YYYY) <br />The books are in the care of <br />Telephone No.Fax No. <br />¥If the organization does not have an office or place of business in the United States, check this box ~~~~~~~~~~~~~~~~~~ <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 . If it is for part of the group, check this box and attach a list with the names and TINs of all members the extension is for. <br />I request an automatic 6-month extension of time until , 20 , to file the exempt organization return for <br />the organization named above. The extension is for the organization's return for: <br />calendar year 20 or <br />tax year beginning , 20 , and ending ., 20 <br />If the tax year entered in line 1 is for less than 12 months, check reason:Initial return Final return <br />Change in accounting period <br />If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less <br />any nonrefundable credits. See instructions. <br />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. <br /> 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. <br />Form (Rev. 1-2024) <br />LHA <br />Application for Extension of Time To File an Exempt Organization <br />Return or Excise Taxes Related to Employee Benefit Plans8868 <br />  <br />   <br />  <br />  <br />   <br />  <br />CLIENT COPY <br />CHARLES HOUSE ASSOCIATION <br />DEAN FOX <br />X <br />0. <br />0. <br />0. <br />919-967-7570 <br />7511 SUNRISE ROAD <br />CHAPEL HILL, NC 27514 <br />**-***2881 <br />NOVEMBER 15 <br />7511 SUNRISE ROAD - CHAPEL HILL, NC 27514 <br />01 <br />23 <br />24 <br />Docusign Envelope ID: FE6E03E9-3378-4BE8-B2E5-0623619296B7