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Form Bass (12 2000) Pape 2 is If you are filing for an Additional (not automatic) 3 Month Extension complete only Part II and check this box ► Note Only complete Part 11 N you have already been granted on automatic 3 month extension on a previously bled Form 8868 • If you are Illing for an Automatic 3 Month Extension complete only Part I (on page 1 ) Part 11 Additional not automatic 3 Month Extension of Time — Must FIle Original and One Co Type or Name of Exempt Organization Employer Identification number Print THE CHILDREN S HOME SOCIETY OF FLORIDA 59 - 0192430 File by els Number street and room or suite no h a P O box, see mainxUna For IRS use only extended for P O BOX 10097 filing els City town or post office stateand ZIP code For a foreign address see matructiorta instructions orn $eQnsJACKSONVILLE FL 32247 - 0097 Check type of return to be filed (File a separate application for each return) ® Form 990 ❑ Form 990-EZ ❑ Form 990-T (sec 401 (a) or 408(a) trust) ❑ Form 1041 A ❑ Form 5227 ❑ Form 8870 ❑ Form 990 BL ❑ Form 990aPF ❑ Form 990-T (trust other than above) ❑ Form 4720 ❑ Form 6069 STOP Do not complete Part II If you were not already granted an automatic 3 month extension on a previously filed Form 8868 • If the organization does not have an office or place of business in the United States check this box ► ❑ e If this is for a Group Return enter the organizations four digit Group Exemption Number (GEN) If this is fnr this whole gmun check this box ► ❑ If it is for part of the group check this box ► ❑ and attach a Inst with the names and EINs of all members the extension is for 4 1 request an additional 3-month extension of time until MAY 15 20 Q� 5 For calendar year or other tax year beginning JUL "'1—` 2UMCandending 20 .03, 6 If this tax year Is for less than 12 months check reason ❑ Initial return ❑ Final return ❑ Change in accounting penod 7 State in detail why you need the extension ADDTT GNAT . TTMR TS NRF.D .D TO CATH .R TH TNFO MATTON N . r P99ARV TO TT F A COMPLETE AND ACCURATE RETURN Be If this application is for Form 990-BL 990 PF 990-T 4720 or 6069 enter the tentative tax less any nonrefundable credits See instructions S b if this application Is for Form 990- PF 990-T 4720 or 6069 enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868 S c Balance Due Subtract line 8b from line 8a Include your payment with this form or if required deposit with FM coupon or if required by using EFTPS ( Electronic Federal Tax Payment System) See instructions S Signature and Verification Under penalties of perjury I declare that I have examined this form including accompanying schedules and statements and to the best of my knowledge and belief it is true correct and complete and that I am authorized to prepare this form Signal " " AJ, Title n O xac fm ► cis Date i Notice to Applicant — To Be Completed by the IRS LLJ We is ire app oved this app►iedtiowi ?lease shaO d e form to no organuduon s return ❑ We have not approved this application However we have granted a 10-day grace period from the later of the date shown below or the due date of the organizations return (including any prior extensions) This grace period is considered to be a valid extension of time for elections otherwise required to be made on a timely return Please attach this form to the organization a return ❑ We have not approved this application After considering the reasons stated in item 7 we cannot grant your request for an extension of time to file We are not granting a 10-day grace period ❑ We cannot consider this application because it was filed after the due date of the return for which an extension was requ&a^d . .. i ^ ^� ❑ Other r 1 L 02 By Director pate Alternate Marling Address — Enter the address if you want the copy of this application for an additional 3 month extension returned to an address different than the one entered above Name DELOITTE & TOUCHE LLP Type or Number and street (include suite room or apt no ) Or a P O box number Print ONE INDEPENDENT DRIVE SUITE 2801 City or town province or state and country (including postal or ZIP code) JACKSONVILLE FL 32202 - 5034 S1F fED9056F 2 Fo m 8868 ( 12 2000)