EFTA00192474 Page 2 Form 8866 (12-2000)⁺ • If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box . . . . . . ▶ X Note: Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868. • If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1). Part II Additional (not automatic) 3-Month Extension of Time - Must File Original and One Copy.
Type or print File by the extended due date for filing the return See instructionsName of Exempt Organization THE C.O.U.Q. FOUNDATION, INC.Employer Identification number
Number, street, and room or suite no. If a P.O. box, see instructions C/O GEORGE V. DELSON ASSOCIATESFor IRS use only
City, town or post office, state, and ZIP code For a foreign address, see instructions
Form 990Form 990-EZForm 990-T(sec401(a)or408(a)trust)Form 1041-AForm 5227Form 8870
Form 990-BLXForm 990-PFForm 990-T(trust other than above)Form 4720Form 6069
STOP: Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.
• If the organization does not have an office or place of business in the United States, check this box.
• 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 box ▶ □ If it is for part of the group, check this box ▶ □ and attach a list with the names and EINs of all members the extension is for.
4 I request an additional 3-month extension of time until January 15, 2005 5 For calendar year ___ , or other tax year beginning March 1, 2003 and ending February 29, 2004 6 If this tax year is for less than 12 months, check reason: □ Initial return □ Final return □ Change in accounting period 7 State in detail why you need the extension Certain information necessary for the proper completion of the return is not yet available. 8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits See instructions c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See Signature and Verification Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete, and that I am authorized to prepare this form. OCT 25 2004 FIELD DIRECTOR ## Notice to Applicant - To Be Completed by the IRS We have not approved this application. However, we have granted a 10-day grace period from the later of the date shown below or the due date of the organization's return (including any prior extensions). This grace period is considered to be otherwise required to be made on a timely return. Please attach this form to the organization's return. We have not approved this application. After considering the reasons stated in item 7, we cannot grant your request for an extension of time to file. We are not granting a 10-day grace period.
We cannot consider this application because it was filed after the due date of the return for which an extension was requested.
Alternate Mailing Address - Enter the address if you want the copy of this application for an additional 3-month extension returned to an address different than the one entered above. Type or print City or town, province or state, and country (including postal or ZIP code) | JSA | | :--- | | 3F8055 1 000 | Form 8868 (12-2000) EFTA00192475 EFTA00192476 EFTA00192477 EFTA00192478 EFTA00192479 EFTA00192480 EFTA00192481 EFTA00192482 EFTA00192483 EFTA00192484 EFTA00192485 EFTA00192486 EFTA00192487 EFTA00192488 EFTA00192489 EFTA00192490 EFTA00192491 EFTA00192492 EFTA00192493 EFTA00192494 EFTA00192495 EFTA00192496 EFTA00192497 EFTA00192498 EFTA00192499 EFTA00192500 EFTA00192501 EFTA00192502 EFTA00192503 EFTA00192504 EFTA00192505 EFTA00192506 EFTA00192507 EFTA00192508 EFTA00192509 EFTA00192510 EFTA00192511