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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 instructions | Name 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 ASSOCIATES | For IRS use only | ||
| City, town or post office, state, and ZIP code For a foreign address, see instructions | |||
| Form 990 | Form 990-EZ | Form 990-T(sec401(a)or408(a)trust) | Form 1041-A | Form 5227 | Form 8870 | ||||||
| Form 990-BL | X | Form 990-PF | Form 990-T(trust other than above) | Form 4720 | Form 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)¶
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