HTML Preview Nonprofit Annual Report page number 1.


Indiana Department of Revenue
Indiana Nonprot Organization's Annual Report
For the Calendar Year or Fiscal Year
Beginning _____/_____/_____ and Ending _____/_____/_____
Due on the 15th day of the 5th month following the end of the tax year.
NO FEE REQUIRED.
Name of Organization Telephone Number
Address County IndianaTaxpayerIdenticationNumber
City State ZipCode FederalIdenticationNumber
PrintedNameofPersontoContact Contact'sTelephoneNumber
Ifyouarelingafederalreturn,attachacompletedcopyofForm990,990EZ,or990PF.
Note: Ifyourorganizationhasunrelatedbusinessincomeofmorethan$1,000asdenedunderSection 513oftheInternalRevenueCode,you
must also le Form IT-20NP.
Current Information
1.
HaveanychangesnotpreviouslyreportedtotheDepartmentbeenmadeinyourgoverninginstruments,(e.g.)articlesofincorporation,
bylaws,orotherinstrumentsofsimilarimportance?Ifyes,attachadetaileddescriptionofchanges.
2. Indicatenumberofyearsyourorganizationhasbeenincontinuousexistence.__________.
3. Attachaschedule,listingthenames,titlesandaddressesofyourcurrentofcers.
4. Brieydescribethepurposeormissionofyourorganizationbelow.
EmailAddress:
I declare under the penalties of perjury that I have examined this return, including all attachments, and to the best of my knowledge and belief, it
is true, complete, and correct.
SignatureofOfcerorTrustee Title Date
NameofPerson(s)toContact DaytimeTelephoneNumber
Important:Pleasesubmitthiscompletedformand/orextensionto:
IndianaDepartmentofRevenue,TaxAdministration
P.O.Box6481
Indianapolis,IN46206-6481
Telephone:(317)232-0129
Extensions of Time to File
TheDepartmentrecognizestheInternalRevenueServiceapplicationforautomaticextensionoftimetole,Form8868.Please forward a copy of
your federal extension, identied with your Nonprot Taxpayer Identication Number (TID), to the Indiana Department of Revenue, Tax
Administration by the original due date to prevent cancellation of your sales tax exemption.
AlwaysindicateyourIndianaTaxpayerIdentication
numberonyourrequestforanextensionoftimetole.
Reportspostmarkedwithinthirty(30)daysafterthefederalextensionduedate,asrequestedonFederalForm8868,willbeconsideredastimely
led.AcopyofthefederalextensionmustalsobeattachedtotheIndianareport.Intheeventthatafederalextensionisnotneeded,ataxpayermay
requestinwritinganIndianaextensionoftimetolefromthe:IndianaDepartmentofRevenue,TaxAdministration,P.O.Box6481,Indianapolis,
IN46206-6481,(317)232-0129.
IfFormNP-20orextensionisnottimelyled,thetaxpayerwillbenotiedbytheDepartmentpursuanttoI.C.6-2.5-5-21(d),toleFormNP-20.If
withinsixty(60)daysafterreceivingsuchnoticethetaxpayerdoesnotleFormNP-20,thetaxpayer'sexemptionfromsalestaxwillbecanceled.
NP-20
State Form 51062
(R7 / 8-13)
Checkif: Change of Address
Amended Report
FinalReport:Indicate
DateClosed______
mm/dd/yyyy mm/dd/yyyy
*25413111594*
25413111594
DOWNLOAD HERE


Ideas in secret die. They need light and air or they starve to death. | Seth Godin