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Get Form 5768 Rev 9 2009

Enue Service (Under Section 501(h) of the Internal Revenue Code) For IRS Use Only Name of organization Employer identification number Number and street (or P.O. box no., if mail is not delivered to street address) Room/suite City, town or post office, and state ZIP + 4 1 Election As an eligible organization, we hereby elect to have the provisions of section 501(h) of the Code, relating to expenditures to influence legislation, apply to our tax year ending and (Month, day, and yea.

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