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Submission of Exemption Request CALIFORNIA FORM 3500A Exemption Based on Internal Revenue Code IRC Sections 501 c 3 501 c 4 501 c 5 501 c 6 501 c 7 or 501 c 19 Federal Determination Letter Enclose a copy of the Federal Determination Letter. 6 m Yes m No Mail form FTB 3500A and a copy of the federal determination letter to EXEMPT ORGANIZATIONS UNIT MS F120 FRANCHISE TAX BOARD PO BOX 1286 RANCHO CORDOVA CA 95741-1286. Under penalties of perjury I declare I have examined this submission for exemption based on the IRC Sections 501 c 3 501 c 4 501 c 5 DATE SIGNATURE OF OFFICER OR REPRESENTATIVE TITLE 8091183 FTB 3500A 2018 Side 1 Part III Purpose and Activity Check the organization s primary purpose and activity m Charitable m Testing for public safety m Hospital m Educational m Religious m Health care center m Literary m Scientific m Prevent cruelty to animals m Church m Qualified sports organization m School m Civic league m Local association of m Social welfare employees m Legislative ac....

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How to fill out the CA FTB 3500A online

The CA FTB 3500A form is essential for organizations seeking tax-exempt status based on specific sections of the Internal Revenue Code. This guide provides clear, step-by-step instructions to help users navigate the form and complete it accurately online.

Follow the steps to fill out the CA FTB 3500A online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Enter the organization information, including the California corporation number or Secretary of State file number, the Federal Employer Identification Number (FEIN), the name as it appears in the organization’s creating document, web address, street address, city, state, telephone numbers, and fax number.
  3. Provide the representative information. Fill in the representative's name, email address, mailing address, city, state, telephone numbers, and fax number.
  4. In Part I — Entity Information, indicate whether the Franchise Tax Board has previously revoked the entity’s tax-exempt status. Respond 'Yes' or 'No.' If 'Yes,' halt the process as you will need to file form FTB 3500 instead.
  5. Answer whether the entity is a trust by selecting 'Yes' or 'No.' Then, provide the date the organization was established or incorporated in California.
  6. List the gross receipts for the current year and the previous three taxable years, detailing the total amounts received from various sources.
  7. Proceed to Part II — Group Exemption. Indicate if a subordinate unit is applying for tax-exempt status under a parent organization’s IRS group determination letter.
  8. If applicable, submit the necessary federal group determination letter and a detailed list of all California subordinates.
  9. Finalize your form by reviewing all information for accuracy. Then, save your changes and choose to download, print, or share the completed form.

Complete your CA FTB 3500A form online today for a smooth submission process.

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Instructions for Form FTB 3500A | FTB.ca.gov
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A Letter of Determination is the official, written documentation of the Internal Revenue Service's approval of a nonprofit's request for 501(c), tax-exempt status.

The Internal Revenue Service provides a 501(c)(3) determination letter to nonprofit organizations that apply for tax-exempt status under that section of the federal tax codes. The determination letter lists the IRS ruling and the basis for its decision.

Adverse event means any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. ... It does not include an adverse event or suspected adverse reaction that, had it occurred in a more severe form, might have caused death.

Report according to local country requirements. In the U.S., contact Reporting Serious Problems to FDA online or call 1.800.FDA.1088. For Lilly U.S. marketed products, you may also call 1.800.LillyRx.

You can report a problem to the FDA online, via phone, or via mail. For emergencies: Call 9-1-1 immediately. In limited emergency situations (which are urgent but not life-threatening), you or your health care professional can report problems to the FDA's emergency line at 1-866-300-4374 or 301-796-8240.

Report Online. Consumer Reporting Form FDA 3500B. ... Call FDA at 1-800-FDA-1088 to report by telephone.

An SAE that occurs during research with a medicinal product is a SAR if there is a certain degree of probability that the SAE is a harmful and undesired reaction to the investigational medicinal product, regardless of the administered dose. If the SAR is unexpected it is called a SUSAR.

MedWatch is the Food and Drug Administration's Safety Information and Adverse Event Reporting Program. ... MedWatch is used for reporting an adverse event or sentinel event. Founded in 1993, this system of voluntary reporting allows such information to be shared with the medical community or the general public.

CIOMS is an abbreviation for the Council for International Organizations of Medical Sciences , which plays an important role within contemporary pharmacovigilance practice.

FDA Forms 3500 and 3500A are part of FDA's Medical Products Reporting Program (MedWatch) and are designed to facilitate safety reporting for most FDA-regulated human medical products by the entire health care community, including manufacturers, distributors, user facilities, and health care professionals.

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