Form 990-N

Electronic Notice (e-Postcard) for Tax-Exempt Organizations not Required To File Form 990 or 990-EZ

Organization Information

Employer Identification Number (EIN) * 9-digit EIN in format: XX-XXXXXXX

Organization Name *

Filing Period Begin Date *

Filing Period End Date *

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

Website Address

Doing Business As (DBA) Name

Gross receipts are normally $50,000 or less *

Final Return/Terminated Organization - Check if organization has terminated or gone out of business

Filing Officer Information

Name *

Title *

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *