Attachment EIN

This document pretains to FCN-NEW-INTR2009-06860 for New Application on a Foreign Carrier Notification filing.

IBFS_FCNNEWINTR200906860_776607

@IR DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999—0023 Date of this notice: 11—05—2009 Employer Identification Number: 27—1250294 Form: SS—4 Number of this notice: CP 575 E DR SORREL FAGEL BAHA CLINIC MS BRAIN M GAYLORD—TOUSANA BRAIN % MS BRAIN M GAYLORD—TOUSANA BRAIN For assistance you may call us at: PO BOX 433 1—800—829—4933 MARENGO, IL 60152 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICHE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 27—1250294. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Assigning an EIN does not grant tax—exempt status to non—profit organizations. Publication 557, Tax Exempt Status for Your Organization, has details on the application process, as well as information on returns you may need to file. To apply for formal recognition of tax—exempt status, most organizations will need to complete either Form 1023, Application for Recognition of Exemption Under Section 501(c) (3) of the Internal Revenue Code, or Form 1024, Application for Recognition of Exemption Under Section 501(a). Submit the completed form, all applicable attachments, and the required user fee to: Internal Revenue Service PO Box 192 Covington, KY 41012—0192 The Pension Protection Act of 2006 contains numerous changes to the tax law provisions affecting tax—exempt organizations, including an annual electronic notification requirement (Form 990—N) for organizations not required to file an annual information return (Form 990 or Form 990—EZ). Additionally, if you are required to file an annual information return, you may be required to file it electronically. Please refer to the Charities & Non—Profits page at www.irs.gov for the most current information on your filing requirements and on provisions of the Pension Protection Act of 2006 that may affect you. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1—800—829—3676 (TTY/TDD 1—800—829—4059) or visit your local IRS office.

(IRS USE ONLY) 575E 11-05-2009 DRSO O 9999999999 SS-4 IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax-related correspondence and documents. * Provide future officers of your organization with a copy of this notice. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Thank you for your cooperation. Keep this part for your records. CP 575 E (Rev. 7-2007) ---------------------------------------------------------------------------------------------- Return this part with any correspondence so we may identify your account. Please CP 575 E correct any errors in your name or address. 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 11-05-2009 ( ) - EMPLOYER IDENTIFICATION NUMBER: 27-1250294 _____________________ _________________ FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE DR SORREL FAGEL BAHA CLINIC CINCINNATI OH 45999-0023 MS BRAIN M GAYLORD-TOUSANA BRAIN % MS BRAIN M GAYLORD-TOUSANA BRAIN PO BOX 433 MARENGO, IL 60152


Document Created: 2009-11-05 02:56:15
Document Modified: 2009-11-05 02:56:15
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