EXEMPTION APPLICATION (Form 1023 - Rev.Nov,1959)

Sep 19, 2026

Exemption Application form 1023 (Rev. Nov, 1959) for organizations seeking status under section 501(c)(3) and section 501(o) of the Internal Revenue Code of 1954. The form instructs organizations to file duplicate copies with the District Director and to provide required information and data; incomplete or missing submissions are not considered on the merits and are returned. It requests organization identity, address, submission and incorporation details, and multiple eligibility questions regarding governance, transfers, income or corpus diversion, and related activities.

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Pages8

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Exemption Application

Organization identification and submission details

Incorporation and filing history

Contributor-relationship questions and related-party transactions

Governance, predecessor status, and asset distribution questions

Income/proceeds use and political or legislative activity questions

| Form
1023
Rev.Nov,1959
U.S.Troasury Departnenl
Internof Revente Service | EXEMPTION APPLICATION
(To be made only by a principol officer of the organization claiming exempion) | To be fled in duplicole with
the Disric Director for your
District. | | --- | --- | --- | For use of orgcnizations applying for exempion under section 501o)and describod in secion 501(c)(3)of the fnternol Revenue Code of 1954,which are organized and operoted exclusively for one or more of the following pUrpo5es |check purpose(s)); | | | Religious
Educationol | Charitable
□Scientific
For the prevenlion of cruelty to children or animals | | Testing for Public Safely
Literary | | --- | --- | --- | --- | --- | --- | EVERY ORGANIZATION THAT CLAIMS TO BE EXEMPT MUST FURNISH THE INFORMATION AND DATA SPECIFIED IN DUPLICATE.IF ANY ORGANIZATIONFAlLS TO SUBMT THE INFORMATIONAND DATA REQUIRED,THIS APPLICATION WL NOT BE CONSIDERED ON ITS MERITS AND WL BE RETURNED. # 1.Full narne of organizafion | Un蒸ve | | | rs它y Students9 Co-0Dera李ive ASBCia立n | | | --- | --- | --- | --- | --- | | 2.Complete address
2424 | | | (Number and street,post office box,ciry,Stale,efc.)
idge.Roac,Berkezey s,Ca26fozmia | 3.Date submitted
see appenda言ac | | b.If"Yes,"in which State and under which low(General corporation,not for prefit,membership,edvcational,eleemosynory,etc,2
4a.Is the organization | | | | | Cite slalutory provisions incorporaled? uesu2a组t to the Non-2eoft Corporatiozn Law of the State o Ca童主for趋a Yes □No | c.IF not incorporated,what is form of organization? | | | d.Date incorporated or
organized
Noveaber 2,193 | | --- | --- | --- | --- | | 5a.Has organizalion fled Federal income fax refurn(s)?
Yes
No | | b.If "Yes,"form nvmber of return filed and internal Revenue District
where filed.Fer 9多0,Sas Fz本加Cisco office | .Ycee三1y siaC
247 | 4 e 6.AFTER JULY 1.1950,DID THE CREATOR OF YOUR ORGANIZATION (if a trust).OR A CONTRIBUTOR TO YOUR ORGANIZATION.ORA BROTHER OR SiSTER (Whole or Half blood),SPOUSE,ANCESTOR,OR LINEAL DESCENDANT OF SUCH CEATOR OR CONTRiBUTOR,ORA CORPORATON CONROLEDDIRECTLY OR INDIRECTLY BY SUCH CREATOR OR CONTRIBUTOR—{lf answer to any of the following is "YES,"attoch detailed statement.) | a.Borrow any part of your income or copus? | Yes | No | d.Purchase ony securities or other property from you? | Yes | No | | --- | --- | --- | --- | --- | --- | | | | X | | | X | | b.Receive ony compensation for personal services from you? | | X | e.Sell any securities or other property to you? | | 黑 | | c.Hove ony part of your services made available fo him? | | 琴 | f.Hos any part of your income or corpus divered to him by any
ransacion? | | X | | 7.Has the organization issued momborship,stock or other certifl-
cates evidencing voting power in the organization? | 黑 | | "Yes,"ore they transferable for money or other consideration? | | 发 | | 8a,s the organization the outgrowth or continuotion of any form
of predecessor{s)? | X | | T"Yes,"attoch astatement indicofing the name of your predecessor(s),the
period during which it was in existence,and the reasons for is iermination.
Submit copies of ail papers by which the fransfer of ossets,if any,was effected. | | | | b.Is capital stock issued and oulstonding? | | 蒸 | if "Yes,"afteuch a stlment indiccting(1)closs or classes of such stock,(2)the
number and par value of the shares,(3)the consideration for which issued,and
(4)whelher cny dividends have-been paid or whether your certificale of organ-
ization auihorizes such payment on any class of such stock. | | | | c.Has any distribuion of_your property ever been made to
shareholders or members? | | X | 新"Yes,"atfach a sfutement containing ful defails,including (1)amounts or
val

FAQs

Where must the exemption application be filed and how many copies are required?

File duplicate copies with the District Director for your district. The application must be filed in duplicate.

What happens if an organization fails to provide required information and data?

If any organization fails to submit the information and data required, the application is not considered on its merits and is returned.

Which types of eligibility questions are included in the form?

The form includes questions about organizational purpose categories, organizational incorporation and federal income tax return history, relationships to creators and contributors, and whether certain transactions, distributions, or activities apply (including political/legislative activity).

Sep 19, 2026

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