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Get Form 5884 C

2226 this form separately; do not attach it to your return. Employer identification number Name (not trade name) shown on Form 941 or other employment tax return Trade name (if any) Number, street, and room or suite no. If a P.O. box, see instructions. City or town, state, and ZIP code 1 Is the organization a qualified tax-exempt organization (an organization described in section 501(c) and exempt from tax under section 501(a))? (see instructions) . . . . . . . . . . . . . . . . . Yes No I.

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