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r NAI, REVENUE SERVICL OEPARTMENr OF THE TREASURY DI � � LCT DIRECTOR BOX 2508 iNwrI , OH 43201 Employer Identification Umber : r Date : 31 - 1480623 DIN : 17053042275008 S7 PETERS HUMAN SERVICcS Contact Person : INCORPIORATED D . A . DONNING C/ O REV AtQREU JEFFERSON Contact Telephone Number : 4250 38TH AVE A ( 511 ) 241 - 5199 GIFFORD , FL 32967 Accounting Period Ending : Auqus t 3 '._ Fara 990 Required : Yes Addendum Applies : Yes Dear Applicant : Based on information supplied , and assuming your operations will be as stated in your application for recognition of exemption , we have determined you are exempt from federal income tax under section 501 ( a ) of the Internal Revenue Code as an organization described in section 501 ( c ) ( 'J ) . We have further determined that you are not a private foundation within the weaninq of section 509 ( x ) of the Cade , because you are an organization described in sections 509 ( a ) ( 1 ) and 170 ( b ) ( 1 ) ( A ) ( ii ) . If your sources of support , or your purposes , character , or method of operation change , please Let us know so we cin consider the effect of the change on your exempt status and foundation status . In• the case of an amend - ment to your organizational document or bylaws , please send us• a• copy of the amended document or bylaws . Also , you should inform us of all changes in your name or address . ram 'Sa : nary 1 , yG ;: are Liable far t:. aes carder thaw cem+ P +- al insurance Contributions Act ( social security taxes ) on . reauner'action cit X100 or acre you pay to each of your employees during a calendar year. You art not liable for the tax imposed under the Federal Unemployment Tax Act ( FUTA ) . Since you are not a private foundation , you are not subject to the excise taxes under Chapter 42 of the Code . However , it you are involved in an excess benefit transaction , that transaction might be subject to the excise taxes of section 4958 . Additionally , you are not automatically exempt from other federal excise taxes . If you have any questions about excise , employment , or other federal taxes , please contact your key district office . Grantors and contributors may rely on this determination unless the Internal Revenue Service publishes notice to the contrary . However , if You lose your section 509 ( a ) ( 1 ) status , a grantor or contributor may not rely on this determination if he or she was in part responsible for , or was aware of , the act or failure to act , or the substantial or material change on the part of the organization that resulted in your loss of such status , or Lf he or' she acquired knowledge that the Internal Revenue Service had given notice that Letter 947 ( DO/ CS )