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rm 990-T (trust other than above) O Form 990-PF 0 Form 1041-A O Form 4720 O Fenn 5227 O Form 6069 O Form 8870 • The books are in the care of ► Harry Beller Telephone No. lo. (.. III ). IIIIIIIIIII FM No. lir- S ..) Mill • If the organization does not have an office or place of business in the Unite
Balance Due. Subtract line 8b from line Ba. Include your payment with this form or, if required, deposit ' with F1D coupon or, if requ:red. by using EFTPS (Electronic Federal Tax Payment System). See instructions. $ 0 Signature and Verification Untler penalbss of penny. I douse that I have auurmed I
STOP: Do not complete Part II tt you were not already granted an automatic 3month extension on a previously Bled Form 8868. • The books are in th HARRY BELLER Telephone No. P • If the organization does not have an office or piece of business in the United States. chock this box . ► O • If this is for a
Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit with ETD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions 5,000 Signature and Verification affit8ttAAPPNOW:5 Undo( penalties of perjury. 1 dacha
T (trust other than above) a Form 990-PF 0 Form 1041-A K Form 4120 O Form 5227 O Form 6069 O Form 8870 • The books are in the care °fistin g Beller Telephone No • If the organization does not have an office or place of business in the United States, check this box . . P. 0 • If this Is for a
Balance Due. Subtract line 3b from line 3a. Include yois payment with this (ono, or, if required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions. 3c S 0 3a 3b 8.000 18,872 Caution. If you are going to make an electronic fund wit
complete Part II If you were not already granted an automatic 3-month extension on a previously flied Form 8868. • The books are In the is ) of * HARRY BELLER Telephone No. * (.NM 750-9895 FAX No. * (..ill ) 750-2409 • If the organization does not have an office or place of business in the United
c Balance Due. Subtract bne 8b from line 8a. Include your payment with this form, or, If required, deposit with FM coupon or, if requked. by using EFTPS (Electronic Federal Tax Payment System). See instructions. $ 0 Signature and Verification .have examined this lam, inducing accompenyng schedules
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