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MOWN <br /> Foran 8868 Application for Extension of Time To File an <br /> (December 2000) Exempt Organization Return OMB No, 1545-1709 <br /> Department of the Treasury <br /> Internal Revenue Service ► File a separate application for each return. <br /> • if you are filing for an Automatic 3-Month Extension, complete only Part 1 and check this box <br /> e If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part 11 ( on page 2 of this form). <br /> Note: Do not complete Part l unless you have already been granted an automatic 3-month extension on a previously filed <br /> Form 8868. <br /> Automatic 3-Month Extension of Time - Only submit original (no copies needed) <br /> Note: Fonn 990•Tcorporadons requesting an automatic 6-month extension - check this box and complete Part / only , , , , , , , ► <br /> ❑ <br /> All other corporations (including Foran 990-C filers) must use Foran 7004 to request an extension of time to file income tax <br /> returns. Partnerships, REM/Cs and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041. <br /> Type or Name of Exempt Organization CATHOLIC CHARITIES OF THE DIOCESE Employer identification number <br /> print OF PALM BEACH INC . 59 -2470479 . <br /> Fite by the due Number, street, and room or suite no. If a P.O. box, see instructions, <br /> date for filing 9995 NORTH MILITARY TRAIL <br /> your return. see <br /> instructions. City, town or post office, state, and ZIP code. For a foreign address, see instructions. <br /> PALM BEACH GARDENS FL 33410 <br /> Check type of return to be filed (file a se arate application for each return): <br /> x Form 990 Form 990-T (corporation) Form 4720 <br /> Form 990-BL Form 990-T(sec. 401 (a) or 408(a) trust) Form 5227 <br /> Form 990-EZ Foran 990-T (trust other than above) Form 6069 <br /> Form 990-PF Form 1041 -A Form 8870 <br /> • . - If the organization does not have an, office or place of business in the United States, check this box ,- _; _ <br />CEj <br /> • If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) _ . If this is <br /> for the whole group , check this box lop, ❑ if it is for part of the group , check this box ► and attach a list with the <br /> names and EINs of all members the extension will cover. <br /> 1 I request an automatic 3-month (6-month, for 990-T corporation) extension of time until 02 /17 2003 <br /> to file tate exempt organization return for the organization named above. The extension is for the organization's return for. <br /> ► caiendar year or <br /> 000e tax year beginning 07 / 01 2001 , and ending 06 /30 2002 <br /> 2 If this tax year is for less than 12 months, check reason: ❑ Initial return ❑ Final return ❑ Change in accounting <br /> period <br /> 3a If this application is for Form 990-BL, 990-PF, 990-T, 4720 , or 6069 , enter the tentative tax, less any <br /> nonrefundable credits. See instructions , , , , , , , . , , , , , , , , , , , <br /> , , ; , , $ <br /> b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments <br /> made. Include any prior year overpayment allowed as a credit , , , , , , , , , , , , , , , , <br /> , , , , , , , , , , $ <br /> c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required, deposit <br /> with FTD coupon or, if required, by ' using EFTPS (Electronic Federal Tax Payment System). See <br /> instructions $ <br /> ifi <br /> Signature and Vercation . <br /> Under penaltiesf perjury, 1 declare that I have examined this form, including accompanying schedules and statements, and to the <br /> best of my knowledge and belief <br /> it is true, correct, d complete, and that I am authorized repare this form. , 1 <br /> Signature ► Title ► CPA Date ► I L W! 0 <br /> For Paperw k eduction Act Notice, see Instruction Foran 8868 (12-2000) <br /> SSA <br /> 1FS054 1.000 <br /> - <br />