DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
CINCINNATI OH 45999-0023
Date of this notice: 12-07-2012 Date of this notice: 12-07-2012
Employer Identification
Employer Number: Number:
Identification
46-1523115
59-0724462
Form: SS-4
Form: SS-4
Number ofofthisthis
notice: CP 575 ECP 575 E
notice:
WINTER HEAVEN
VETS HOSPITAL
FOR VETS
BAYCARE HEALTH
% JASON SYSTEM
LEONE
200 AVE
621F NE
JEFFERSON ST For assistance
For assistanceyou may
you call
may us call
at: us at:
WINTER
REDHAVEN,FL 33881
HILL, PA 18076 1-800-829-4933
1-800-829-4933
IF
IFYOU
YOUWRITE, ATTACH
WRITE, THE
ATTACH THE
STUB
STUB AT
ATTHE
THEEND
ENDOF
OFTHIS
THISNOTICE.
NOTICE.
WE ASSIGNED YOU AN EMPLOYER
WE ASSIGNED YOU AN IDENTIFICATION NUMBER
EMPLOYER IDENTIFICATION NUMBER
Thank
Thank you you for
for applying forapplying
an Employerfor an Employer
Identification NumberIdentification
(EIN). We assignedNumber
you (EIN). We assigned you
EIN 46-1523115.
EIN 59-0724462. This This
EIN willEIN will
identify you,identify you,
your business your business
accounts, tax returns, accounts,
and tax returns, and
documents,
documents, eveneven ifhave
if you younohave no employees.
employees. Please
Please keep this noticekeep
in yourthis notice in your permanent
permanent
records.
records.
When filing
Whentaxfiling
documents,
tax payments,
documents, and related correspondence,
payments, and relatedit is very important
correspondence, it is very important
that
that youyou
use use
your your
EIN and complete
EIN name and address
and complete name and exactly as shown
address above. Any
exactly as variation
shown above. Any variation
may
may cause
causea delay in processing,
a delay result in incorrect
in processing, result information in your account,
in incorrect or even in your account, or even
information
cause
causeyou to be
you toassigned more than
be assigned one than
more EIN. Ifone
the information
EIN. Ifisthe not correct as shown is not correct as shown
information
above,
above,please
pleasemakemake
the correction using the attached
the correction using teartheoffattached
stub and return
tearit to
offus. stub and return it to us.
Assigning an EIN does
Assigning annot grant
EIN tax-exempt
does statustax-exempt
not grant to non-profit organizations.
status to non-profit organizations.
Publication
Publication 557, 557, Tax Exempt
Tax Exempt Status forStatus for Your, has
Your Organization Organization,
details on the has details on the
application
application process,
process, asinformation
as well as well asoninformation
returns you may onneed
returns youapply
to file. To may need to file. To apply
forformal
for formal recognition
recognition of tax-exempt
of tax-exempt status, most
status, most organizations organizations
will need to complete will need to complete
either
either Form
Form 1023,
1023, Application
Application for ofRecognition
for Recognition Exemption Under of Section
Exemption Under
501(c)(3) of Section 501(c)(3) of
theInternal
the Internal Revenue
Revenue Code , Code,
or Formor Form
1024, 1024, for
Application Application
Recognition offor Recognition of Exemption
Exemption
UnderSection
Under Section 501(a).
501(a) . Submit theSubmit theform,
completed completed form,
all applicable all applicable
attachments, and the attachments, and the
required
required useruser
fee to:fee to:
Internal Revenue
Internal Service
Revenue Service
PO
PO Box 12192
Box 12192
Covington,
Covington, KY KY 41012-0192
41012-0192
The Pension Protection Protection
The Pension Act of 2006 contains
Act of numerous changes to the
2006 contains tax law changes to the tax law
numerous
provisions
provisions affecting tax-exempt
affecting organizations,
tax-exempt including an annual
organizations, electronic an annual electronic
including
notification
notification requirement (Form 990-N)
requirement for organizations
(Form 990-N) fornotorganizations
required to file an not
annual
required to file an annual
information
information return (Form 990
return or Form
(Form 990990-EZ).
or Form Additionally,
990-EZ). if you are required to if you are required to
Additionally,
file
file an annual
an annualinformation return, you return,
information may be required
you mayto filebe
it electronically.
required to file it electronically.
Please
Pleaserefer to theto
refer Charities & Non-Profits&page
the Charities at www.irs.gov
Non-Profits page for the
at most current
www.irs.gov for the most current
information
information on your
on filing
yourrequirements and on provisions
filing requirements andof the
on Pension Protection
provisions of the Pension Protection
Act
Actofof 2006 that may
2006 thataffect
mayyou.
affect you.
To obtain
To tax forms and
obtain taxpublications,
forms andincluding those referenced
publications, in this notice,
including those referenced in this notice,
visit our our
visit Web Web
site atsite
www.irs.gov. If you do not have
at www.irs.gov. If access
you doto not
the Internet, call
have access to the Internet, call
1-800-829-3676
1-800-829-3676 (TTY/TDD 1-800-829-4059)
(TTY/TDD or visit your
1-800-829-4059) orlocal IRS office.
visit your local IRS office.
(IRS(IRS
USEUSE ONLY) 575E
ONLY) 575E 12-07-201212-07-2012
9999999999 VETS
SS-4 O 9999999999 SS-4
IMPORTANT REMINDERS:
* Keep
* Keep a ofcopy
a copy of this
this notice notice
in your in records.
permanent your permanent records.
This notice is issued onlyThis notice is issued only
one and
one time timetheand
IRS the IRSbewill
will not not
able to be able
generate to generate
a duplicate copy forayou.
duplicate copy for you.
* Use this EIN
* Use andEIN
this your and
nameyour
exactly as they
name appear at
exactly asthethey
top ofappear
this notice
atonthe
all top of this notice on all
youryour federal
federal tax forms.tax forms.
* Refer to this to
* Refer EIN this
on yourEIN
tax-related
on your correspondence
tax-relatedandcorrespondence
documents. and documents.
* Provide future officers
* Provide future of your organization
officers with aorganization
of your copy of this notice.
with a copy of this notice.
If you have questions
If you haveabout your EIN,about
questions you canyour
call usEIN,
at theyou
phone cannumber
callorus write
attothe phone number or write to
us
us atat
thethe
address shown shown
address at the top
atof the
this notice.
top of If you
thiswrite, please tear
notice. Ifoffyou
the stub
write, please tear off the stub
at
atthe bottom
the of thisof
bottom notice
thisandnotice
send it along
and with
sendyouritletter.
along If you do not
with need
your to
letter. If you do not need to
write us,us,
write do not
docomplete and returnand
not complete the stub.
returnThanktheyou for yourThank
stub. cooperation.
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: 12-07-2012
( ) (- ) - EMPLOYER IDENTIFICATION
IDENTIFICATION NUMBER:
NUMBER: 46-1523115
59-0724462
_____________________ _________________ FORM: SS-4 NOBOD
INTERNAL REVENUESERVICE
INTERNAL REVENUE SERVICE VETS FOR
WINTER VETS
HEAVEN
CINCINNATI
CINCINNATI OH OH 45999-0023
45999-0023 %BAYCARE
JASON HEALTH
LEONE SYSTEM
621 JEFFERSON ST
RED HILL, PA 18076
