US Dept of Treasury IRS 10/14/2020

Form 1024(Rev.1-2018) Page 6 Part IV. Notice Requirements (Sections 501(c)(9) and 501(c)(17) Organizations Only) 1 Section 501(c)(9)and 501(c)(17)organizations: Are you filing Form 1024 within 15 months from the end of the month in which the organization was created or formed as required by section 505(c)? C Yes 0 No If"Yes,"skip the rest of this part. If"No,"answer question 2. 2 If you answer "No" to question 1, are you filing Form 1024 within 27 months from the end of the month in which the organization was created or formed? ❑✓ Yes ❑No If "Yes," your organization qualifies under Regulations section 301.9100-2 for an automatic 12-month extension of the 15-month filing requirement.Do not answer questions 3 and 4. If"No,"answer question 3. 3 If you answer "No" to question 2, does the organization wish to request an extension of time to apply under the "reasonable action and good faith" and the"no prejudice to the interest of the government"requirements of Regulations section 301.9100-3? ❑Yes ❑No If"Yes," give the reasons for not filing this application within the 27-month period described in question 2. See Specific Instructions, Part IV, Line 3,before completing this item.Do not answer question 4. If"No,"answer question 4. 4 If you answer"No"to question 3,your organization's qualification as a section 501(c)(9)or 501(c)(17)organization can be recognized only from the date this application is filed.Therefore, does the organization want us to consider its application as a request for recognition of exemption as a section 501(c)(9)or 501(c)(17)organization from the date the application is received and not retroactively to the date the organization was created or formed'? ❑ Yes ❑ No Form 1024(Rev.1-2018)