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Indiana Nonprofit Organizations Annual Report NP-20 - Indiana

Indiana Nonprofit Organizations Annual Report Form. This is a Indiana form and can be used in Corporate Income Department Of Revenue Statewide .
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NP-20 State Form 51062 (R7 / 8-13) Indiana Nonprofit Organization's Annual Report For the Calendar Year or Fiscal Year Beginning _____/_____/_____ and Ending _____/_____/_____ mm/dd/yyyy mm/dd/yyyy Indiana Department of Revenue Checkif: Change of Address Amended Report FinalReport:Indicate DateClosed______ Due on the 15th day of the 5th month following the end of the tax year. NO FEE REQUIRED. Name of Organization Address City PrintedNameofPersontoContact State County ZipCode Telephone Number IndianaTaxpayerIdentificationNumber FederalIdentificationNumber Contact'sTelephoneNumber Ifyouarefilingafederalreturn,attachacompletedcopyofForm990,990EZ,or990PF. Note: Ifyourorganizationhasunrelatedbusinessincomeofmorethan$1,000asdefinedunderSection 513oftheInternalRevenueCode,you must also file Form IT-20NP. Current Information 1. HaveanychangesnotpreviouslyreportedtotheDepartmentbeenmadeinyourgoverninginstruments,(e.g.)articlesofincorporation, bylaws,orotherinstrumentsofsimilarimportance?Ifyes,attachadetaileddescriptionofchanges. 2. Indicatenumberofyearsyourorganizationhasbeenincontinuousexistence.__________. 3. Attachaschedule,listingthenames,titlesandaddressesofyourcurrentofficers. 4. Brieflydescribethepurposeormissionofyourorganizationbelow. EmailAddress: 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. SignatureofOfficerorTrustee NameofPerson(s)toContact Title DaytimeTelephoneNumber Important:Pleasesubmitthiscompletedformand/orextensionto: IndianaDepartmentofRevenue,TaxAdministration P.O.Box6481 Indianapolis,IN46206-6481 Telephone:(317)232-0129 Extensions of Time to File TheDepartmentrecognizestheInternalRevenueServiceapplicationforautomaticextensionoftimetofile,Form8868.Please forward a copy of your federal extension, identified with your Nonprofit Taxpayer Identification Number (TID), to the Indiana Department of Revenue, Tax Administration by the original due date to prevent cancellation of your sales tax exemption.AlwaysindicateyourIndianaTaxpayerIdentification numberonyourrequestforanextensionoftimetofile. Reportspostmarkedwithinthirty(30)daysafterthefederalextensionduedate,asrequestedonFederalForm8868,willbeconsideredastimely filed.AcopyofthefederalextensionmustalsobeattachedtotheIndianareport.Intheeventthatafederalextensionisnotneeded,ataxpayermay requestinwritinganIndianaextensionoftimetofilefromthe:IndianaDepartmentofRevenue,TaxAdministration,P.O.Box6481,Indianapolis, IN46207-6481,(317)232-0129. IfFormNP-20orextensionisnottimelyfiled,thetaxpayerwillbenotifiedbytheDepartmentpursuanttoI.C.6-2.5-5-21(d),tofileFormNP-20.If withinsixty(60)daysafterreceivingsuchnoticethetaxpayerdoesnotfileFormNP-20,thetaxpayer'sexemptionfromsalestaxwillbecanceled. Date *25413111594* 25413111594 American LegalNet, Inc. www.FormsWorkFlow.com
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