EFTA00192512 Page 2 * If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box. 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. Name of Earned Organization THE C.O.U.Q. FOUNDATION, INC. Number, street, and room or no. of a P.O. box, see instructions C/O GEORGE V. DELSON ASSOCIATES. City, town or post office, state, and ZIP code For a foreign address, see instructions Check type of return to be filed (File a separate application for each return) Form 990 Form 990-E2 Form 990-T (sec 401(t) or 404(t) a trust) Form 1041-A Form 5227 Form 8870 Form 990-BL 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 eight digit Group Exemption Number (GEN) if this is for the whole group, check this box ▶ If it is part of the group, check this box ▶ and attach a list with the names and ELNs 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 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. 8b If this application is for Form 990-PF, T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868 8c 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 instructions. 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 Signature ▶ CPA Notice to Applicant - To Be Completed by the IRS We have approved this application. Please attach this form to the organization's return. 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 EXTENSION APPROVED unless 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 payment of time to file. We are not granting a 10-day grace period. We cannot consider this application because it was filled after the due date of the return for which an extension was received to an address different than the one entered above. Director 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. Name George V. Delson Associates Number and address (email, room, or apt, no.) Or a P.O. box number and country (including postal or ZIP code) Form 8868 (12-2000) EFTA00192513 EFTA00192514 EFTA00192515 EFTA00192516 EFTA00192517 EFTA00192518 EFTA00192519 EFTA00192520 EFTA00192521 EFTA00192522 EFTA00192523 EFTA00192524 EFTA00192525 EFTA00192526 EFTA00192527 EFTA00192528 EFTA00192529 EFTA00192530 EFTA00192531 EFTA00192532 EFTA00192533 EFTA00192534 EFTA00192535 EFTA00192536 EFTA00192537 EFTA00192538 EFTA00192539 EFTA00192540 EFTA00192541 EFTA00192542 EFTA00192543 EFTA00192544 EFTA00192545 EFTA00192546 EFTA00192547 EFTA00192548 Page 2 • If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box. 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 | Name of Exempt Organization | :--- | :--- | The C.O.U.G Foundation, Inc. | | | Reason for extension number | | File by the extended due date for filing the return See instructions | Number, street, and room or suite no. c/o George V. Delson Associates | | For IRS use only | | | State, and ZIP code For a foreign address, see instructions | | | Check type of return to be filed (File a separate application for each return). - Form 990 - Form 990-BL - Form 990-EZ - Form 990-PF - Form 990-T (sec. 401(a) or 408(a) trust) - Form 990-T (trust other than above) - Form 1041-A - Form 4720 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
4I request an additional 3-month extension of time untilJanuary 15.20.06
March 120.04and endingFebruary 2820.05
5For calendar year...or other tax year beginning...............
6 If this tax year is for less than 12 months, check reason. $ \Box $ Initial return $ \Box $ Final return $ \Box $ 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 $ 27,679 b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868 $ 27,679 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 instructions. $ 0 ## 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. ## Notice to Applicant—To Be Completed by the IRS We have approved this application Please attach this form to the organization's return. 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 a valid extension of time for elections 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 extended due date of the return for which an extension was requested. Other ...
DirectorBy Date
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 printName George V. Delson Associates
Number and street (include suite, room, or apt. no.) or a P.O. box number
state, and country (including postal or ZIP code)
EFTA00192549 EFTA00192550 EFTA00192551 EFTA00192552 EFTA00192553 EFTA00192554 EFTA00192555 EFTA00192556 EFTA00192557 EFTA00192558 EFTA00192559 EFTA00192560 EFTA00192561 EFTA00192562 EFTA00192563 EFTA00192564 EFTA00192565 EFTA00192566 EFTA00192567 EFTA00192568 EFTA00192569 EFTA00192570 EFTA00192571 EFTA00192572 EFTA00192573 EFTA00192574 EFTA00192575 EFTA00192576 EFTA00192577 EFTA00192578 EFTA00192579 EFTA00192580 EFTA00192581 EFTA00192582 # OFFICE COPY Page 2 Form 8868 (Rev 12-2004) • If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box. 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 (no page 1).
Type or print File by the extended due date for filing the return See instructions.Name of Exempt Organization THE C.O.U.Q. FOUNDATIONEmployer identification number
Number street and room or suite no. If a P.O. box see instructions.For IRS use only
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
Check type of return to be filed(File a separate application for each return):
☐ Form 990 ☐ Form 990-T (sec. 401(a) or 408(a) trust) ☐ Form 5227
☐ Form 990-BL ☐ Form 990-T (trust other than above) ☐ Form 6069
☐ Form 990-EZ ☐ Form 1041-A ☐ Form 8870
☑ Form 990-PF ☐ Form 4720
STOP: Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868. - The books are in the care of ► HARRY BELLER Telephone No. ► - 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 ▶ $ \Box $ . If it is for part of the group, check this box ▶ $ \Box $ and attach a list with the names and EINs of all members the extension is for.
4I request an additional 3-month extension of time untilJANUARY 15.20.07
5For calendar yearMARCH 120.05and endingFEBRUARY 2820.06
6 If this tax year is for less than 12 months, check reason: $ \Box $ Initial return $ \Box $ Final return $ \Box $ 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 $ 37,767 b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868 . $ 37,767 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 instructions. ## 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.
Signature ► /S/ GEORGE V DELSONTitle ►Date ►
## Notice to Applicant—To Be Completed by the IRS We have approved this application. Please attach this form to the organization's return. 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 a valid extension of time for elections 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 extended due date of the return for which an extension was requested. □ Other ... | Director | By. | Date | | :--- | :--- | :--- | 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 printName GEORGE V. DELSON ASSOCIATES
Number and street (include suite, room, or apt. no.) or a P.O. box number
and country (including postal or ZIP code)
Form 8868 (Rev 12-2004) EFTA00192583