Form 4506-A Request for a Copy of Exempt or Political Organization I

4506-A

(November 2021)

Request for a Copy of Exempt or Political Organization
IRS Form

Department of the Treasury
▶
Internal Revenue Service

Type or print clearly. Request may be rejected if the form is incomplete or illegible.
Information about Form 4506-A and its separate instructions is at www.irs.gov/form4506ab.

Form

OMB No. 1545-0495

▶

You may not have to complete Form 4506-A to get the copies you need.
•

The following returns can be found online: Form 8871 and Form 8872 at www.irs.gov/polorgs; Form 990, Form 990-EZ, Form 990-PF and
Form 990-T at Tax Exempt Organization Search (TEOS) www.irs.gov/teos.

•

Public disclosure by the organization. Exempt or political organizations must make their returns, reports, notices, and exempt applications
available for public inspection. You can visit the organization to inspect the material instead of requesting it from the IRS. The organization may be
able to provide copies to you.

•
•

Form 990-N (e-Postcard) annual electronic notice is available for inspection at www.irs.gov/teos.
Machine Readable Data: E-filed Forms 990, 990-EZ and 990-PF are available at www.irs.gov/teos (see instructions).
1 Exempt or political organization. Complete a separate Form 4506-A for each organization.
Name

Employer identification number

Address
City or town, state or province, country, and ZIP or foreign postal code

2 Requester.
Name

Contact person

Address

Phone

City or town, state or province, country, and ZIP or foreign postal code

Date

3 Category of requester:
You must check a box.

Commercial user

Non-commercial scientific institution

Educational institution

All others

Media
Name of media outlet

4 Reason for request. All requesters, except commercial users, must provide an explanation of how the records will be used to avoid being
charged the commercial rate. Attach additional sheets if necessary.

Lines 5–8. For each applicable form, check the box(es) for the item(s) you are requesting. You may request more than one form. For each form
requested, complete either the paper or USB and enter the specific tax year(s), as indicated. If ordering a partial set in USB or Sample USB, indicate
the state(s), and month(s) requested. If you check “other” you must indicate the specific form(s) you are requesting on the line provided. See
instructions for more information.
Note. USB and Sample USB are not available for individual exempt organizations. Sample USB requests are not available for individual states.
5

Form 990, Form 990-EZ:
a Paper request
Tax year(s) or period(s) requested:

;
YYYYMM

6

Form 990-PF:
a Paper request
Tax year(s) or period(s) requested:

;
YYYYMM

7

8

;
YYYYMM

;

b USB request:
State(s):
Calendar year(s):

;

b USB request:
State(s):
Calendar year(s):

;

Yearly

Sample
;

;

;

YYYYMM

;
YYYYMM

b USB request:
State(s):
Calendar year(s):

Yearly

Sample
;

;

;

YYYYMM

Form 990-T (501(c)(3) organizations filed after August 17, 2006):
a Paper request
;
;
Tax year(s) or period(s) requested:
YYYYMM YYYYMM YYYYMM

Yearly

Sample
;

;

;

Form 5227 (for tax years beginning after December 31, 2006):
a Paper request
;
;
Tax year(s) or period(s) requested:
YYYYMM YYYYMM YYYYMM
b Other form(s)
;
;
Tax year(s) or period(s) requested:
YYYYMM YYYYMM YYYYMM

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

Catalog Number 41722P

Form

4506-A (Rev. 11-2021)