es. return See instyuctarls City, town or post office, state, and ZIP code. For a foreign address, see instrucbons. New York, NY 10022 Name of Exempt Organization THE C.O.U.Q. FOUNDATION, INC. Employer Identification number Check type of return to be filed (file a separate application for each return): O Fo

-Month Extension of Time—Must File Original and One Copy. Type or print Filo by the Wdoendeddotefor du fang the (MUT See mstrucuons. Name of Exempt Organization THE C.O.U.O. FOUNDATION Employer Identification number 13 i 3996471 Number. street, and room or suite no. U • P.O. box. see Instructions. do DEL

Extension, complete only Part I (on page C. Additional (not automatic) 3-Month Extension of Time—Must File Original and One Copy. Type or Name of Exempt Organization ..*'.tV- number print The C.O.U.G Foundation. Inc. et: ;Joey V. blended cks deb tor c/o George V. Debson Associat llIM Number, street, an

8868. For more detain on the electronic filing of this form, visit vn•wiragovIefile and click on a-file for Charities & Nonprofits. Type or Name of Exempt Organization print THE C.O.U.O. FOUNDATION, INC. Ho try the duo date lot SIM )Our return Soo WO, and ZIP coda. For a foreign address, see inetructions. In

of Time - Must File Or glnal and One Copy. Type or print Ho b,, ono Number, extender) , iiiisawsw Ill ng the rout', Soo instructions Name of Exempt Organization THE C.0.1.1.Q. FOUNDATION, INC, Employer identification number 13-3996471 street, and room or suite no. If a P.O. box, see Instructions : C/O .