Foffn 8718                               User Fee for Exempt Organization                                                       Fm M Use Oft (Rev. November 2DOO)                        Determination Letter Request                                                Contra nurrdw Deparmwt of " Treasury                   10, Attach this form to determination letter application.                      Amount paid internal Revenue Service                 (Form 8718 is NOT a determination letter application.)                         User Ise scmwmr I Name of organization                                                                           2 Empl"w ldenuftation Nualbw iff, A. A, C'ITA PTeg-                5-7 WACO, -F6"f                                        74: -7- 73 1 FO 7 Caution.- Do not attach Form 8718 to an application for a pension plan determination k*er Use Form 8717 instead. 3     Type of request                                                                                                                            Fee a        Initial request for a determination letter for 0 An exempt organization that has had annual gross receipts averaging not more than $10,000 during the preceding 4 years, or * A new organization that anticipates gross receipts averaging not more than $1 0,000 during its first 4 years 101. Note-. If you checked box 3a, you must complete the Certification below.                                                                50 cabon I certify that the annual gross receipts of                                                                                 .............. name of organimk)n have averaged (or are expected to average) not more than $10,000 during the preceding 4 (or the first 4) years of operation.                                                             Title No- ignature b        Initial request for a determination letter for: a An exempt organization that has had annual gross receipts averaging more than $10,000 during the preceding 4 years, or o A new organization that anticipates gross receipts averaging more than $10,000 during its first 4 years                             $SW c        Group exempti n letters         . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                        No" $500 lnstmctions                                           Attach to Form 8718 a check or                     Send the determination letter The law requires payment of a user fee             money order payable to the United                   application and Form 81-18 to: with each application for a determination          States Treasury for the full amount of the             Internal Revenue Service letter. The user fees are listed on line 3         user fee. If you do not Include the full               RO. Box 192 above. For more information, see Rev.              amount, your application will be                       Covington, KY 41012-0192 Proc. 2OW-8, 2000-1, I.A.B. 230.                   returned. Attach Form 871 6 to your                   If you are using express mail or a Check the box or boxes on line 3 for            determination letter application.                   delivery service, send the application the type of application you are                                                                        and Form 8718 to: submitting. If you check box 3a, you                                                                      Internal Revenue Service must complete and sign the certification                                                                  201 West Rivercenter Blvd. statement that appears under line 3a.                                                                     Attn: Extracting Stop 312 Covington, KY 41011 -U.S. Governffmm Printrig o": 2OW - 472-868/2W74                    Cat. No. 64728Z                                         Form          ow. 11-20"