Form 4506-A Request for Public Inspection or Copy

(Rev. October 2001) of Exempt or Political Organization IRS Form OMB No. 1545-0495

Department of the Treasury

Internal Revenue Service

1 Exempt or political organization. If a multiple request, please attach list of names, forms, and tax years.

2 Employer identification number of exempt or political organization (if known) 

6

11 Date requested

Form 1023 or 1024

Copy

3 Requester

IRS Use Only

12 The form requested above was inspected by (name of requester) 13 IRS office where inspection was made

14 Signature of employee present at inspection 15 Date

Cat. No. 41722P Form 4506-A (Rev. 10-2001)

Form 990, 990-EZ, or 990-PF

For Privacy Act and Paperwork Reduction Act Notice, see back of form.

 Type or print clearly. Request may be rejected if the form is incomplete or illegible.

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

● Internet. Generally, Form 8871, Political Organization Notice of Section 527 Status, and Form 8872, Political Organization

Report of Contributions and Expenditures, are available for inspection and printing from the Internet. The web site address for

both forms is eforms.irs.gov.

● 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 mail the copies to you.

4 Category of requester: Commercial user

All others

Non-commercial scientific institution

Educational institution Media

5 Reason for request. All requesters except for 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 6-10. Check the box(es) for the item(s) you are requesting. You may request more than one item. For each item, check

either the copy or inspection box and enter the tax year(s), as indicated.

Copy Inspection

Tax year(s) requested 

7

Inspection

Tax year(s) requested 

Copy

8 Form 1120-POL (see instructions)

Inspection

Tax year(s) requested 

9 Form 8871

Copy Inspection Copy

10 Form 8872

Inspection

You must check a box.

Name

Address

City or town, state, and ZIP code

Name

Address

City or town, state, and ZIP code

Contact Person

Phone number

( )

(see

instructions)
Form 4506-A (Rev. 10-2001)

Line 1

Line 8

Enter the organization’s official name, that is, the name under

which exempt status was approved. If you do not enter the

official name, we may not be able to locate the requested form.

You can only request Form 1120-POL for tax years beginning

after June 30, 2000.

Privacy Act and Paperwork Reduction Act Notice. We ask for

the information on this form to carry out the Internal Revenue

laws of the United States. We need the information to gain

access to the return or other exempt or political organization IRS

form you requested in our files and properly respond to your

request. The authority to ask for the information requested on

this form is Internal Revenue Code section 6104 and its

regulations. You are not required to provide the information

requested on this form. However, if you do not furnish the

information, we may not be able to fill your request. Providing

willfully false or fraudulent information may subject you to

criminal penalties. Routine uses include disclosing the

information to the Department of Justice.

The time needed to complete and file this form will vary

depending on individual circumstances. The estimated average

time is:

Recordkeeping 6 min.

If you have comments concerning the accuracy of these time

estimates or suggestions for making this form simpler, we would

be happy to hear from you. You can write to the Tax Forms

Committee, Western Area Distribution Center, Rancho Cordova,

CA 95743-0001. Do not send the form to this address. Instead,

see Where To File on this page.

Learning about the law or the form 7 min.

Preparing the form 29 min.

Copying, assembling, and

sending the form to the IRS 16 min.

You are not required to provide the information requested on a

form that is subject to the Paperwork Reduction Act unless the

form displays a valid OMB control number. Books or records

relating to a form or its instructions must be retained as long as

their contents may become material in the administration of any

Internal Revenue law. Generally, tax returns and return

information are confidential, as required by Internal Revenue

Code section 6103.

Specific Instructions

IF you want ... THEN file Form 4506-A with the ...

To inspect a return,

report, notice, or an

exemption application

at an IRS office*

Internal Revenue Service

Attention: Disclosure Officer

(Call 1-800-829-1040 for IRS

office locations near you.)

Where To File

You can mail Form 4506-A to the IRS or you can file it with the

IRS office for your area. Use the following chart to determine

where to file Form 4506-A.

* The office handling your request will contact you to schedule an

appointment when the item is available for inspection.

Page 2

A copy of an exemption

application

Internal Revenue Service

Customer Service - TE/GE

P.O. Box 2508, Room 2023

Cincinnati, OH 45201

A copy of a return,

report, or notice

Internal Revenue Service Center

P.O. Box 9941, Stop 6716

Ogden, UT 84409

$ .20 per page

First 100 pages free,

$ .20 per page thereafter

IF you are ... THEN the charge for

paper copies is ...

A commercial user

An educational institution,

media, non-commercial

scientific institution, or all

other requesters

Note: The IRS will send you a bill for the cost. If your cost is

over $250, we will ask for payment in advance.

If you want a photocopy of a return, report, notice, or an

exemption application, see the chart below.

General Instructions

Purpose of Form

Use Form 4506-A to request:

● An inspection of a return, report, notice, or exemption

application at an IRS office.

● A copy of an exempt or political organization’s return, report,

notice, or exemption application;

How Much Will It Cost?

You may inspect a return, report, notice, or exemption

application at an IRS office free of charge.

To inspect a return,

report, notice, or an

exemption application

at the IRS National

Headquarters

Commissioner of Internal Revenue

Attention: Freedom of Information

Reading Room**

1111 Constitution Avenue NW

Washington, DC 20224

CD-ROMs. The IRS can provide copies of exempt organization

returns on a compact disk (CD-ROM). Requesters can order the

complete set (all Forms 990 and 990-EZ or all Forms 990-PF

filed for a year) or a partial set by state or by month. For more

information on the cost and how to order CD-ROMs, call toll free

1-877-829-5500 or write to the IRS in Cincinnati, OH, at the

address under Where To File below.

Line 7

You can only request Forms 990 or 990-EZ for section 527

organizations for tax years beginning after June 30, 2000.

** Until further notice, you must call 202-622-5164 to schedule

an appointment to visit the Reading Room.