California Nonprofit Corporation Request for Pre-Dissolution Tax Abatement

Nonprofit Corporation Request for Pre-Dissolution Tax Abatement
2023 Form 3502 Nonprofit Corporation Request for Pre-Dissolution Tax Abatement
TAXABLE YEAR

2023

Nonprofit Corporation
Request for Pre-Dissolution Tax Abatement

California corporation number/California Secretary of State file number

CALIFORNIA FORM

3502

FEIN

Name of organization as shown in the creating document
Street address (suite, room, or PMB no.)

Telephone

City

State

Name of representative to contact regarding additional requirements or information

ZIP code
Telephone

Representative’s mailing address (suite, room, or PMB no.)
City

State

ZIP code

Questions
1

Are you currently doing business in California according to Revenue & Taxation Code Section 23101? . . . . . . . . . . . . . . . .   1	 □ Yes   □ No

2

Was the organization ever tax-exempt with the California Franchise Tax Board? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  2	 □ Yes   □ No

3

Was the organization ever tax-exempt with the Internal Revenue Service? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   3	 □ Yes   □ No

4

Did the organization ever operate in California? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   4	 □ Yes   □ No
If yes, list the date the operations stopped in California (mm/dd/yyyy)

5

Will the organization continue to operate outside of California? If yes, STOP do not file this form . . . . . . . . . . . . . . . . . . . .   5	 □ Yes   □ No

6

Does the organization have any unusual circumstances?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   6	 □ Yes   □ No
If yes, attach statement explaining circumstance. See instructions.

7

Does the organization have any undistributed assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   7	 □ Yes

□ No

If yes, list description, distribution plan, and value of assets. See instructions.
Description and distribution plan

8

Value of asset

Did the organization distribute its assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   8	 □ Yes

□ No

If yes, list the description and value of the asset and the FEIN/SSN, name, telephone, and address of the recipient. See instructions.
Description

Value

FEIN/SSN

Name

Telephone

Address

Our privacy notice can be found in annual tax booklets or online. Go to ftb.ca.gov/privacy to learn about our privacy policy statement, or go
to ftb.ca.gov/forms and search for 1131 to locate FTB 1131 EN-SP, Franchise Tax Board Privacy Notice on Collection. To request this notice by mail,
call 800.338.0505 and enter form code 948 when instructed.
Under penalties of perjury, I hereby declare that I have examined this form and to the best of my knowledge and belief, it is true, correct, and complete.
I understand that the information in this form may be shared with other California state agencies.
	Signature of officer or director

Printed name

8501233

Title

Date

FTB 3502  2023