%PDF-1.3
%âãÏÓ
1 0 obj
<<
/Producer (OmniForm Converter for PDF)
/Creator (OmniForm Premium)
/Title (Letter 1476 (Rev. 8-2004))
/Subject (OCEP Request For Additional Information)
/Keywords (fillable)
/Author (Susan Turner)
>>
endobj
4 0 obj
[ /PDF /Text ] 
endobj
6 0 obj
<< /Length 7 0 R >>
stream
BT
/F0 12 Tf
0 g 378.816 743.53 Td (Department of the Treasury) Tj
-341.923 0.136 Td (Internal Revenue Service) Tj
/F1 12 Tf
0.142 -285.84 Td (Dear Sir or Madam:) Tj
/F2 8 Tf
341.677 80.555 Td (Contact Telephone Number:) Tj
/F1 12 Tf
-341.802 -108.873 Td (Thank you for the information submitted on                                  concerning your return\(s\) for the years\(s\)) Tj
0 -14.148 Td (shown above. Unfortunately, it is not sufficient.) Tj
0 -2.957 Td 0 -25.339 Td (Please send the information requested in the enclosed attachment within 15 days from the date of this letter to) Tj
0 -14.148 Td (enable us to complete the examination. If you do not reply, we will close this case based on the information) Tj
0 -14.148 Td (currently in our file. This could lead to disqualification of the tax-exempt status of the plan.) Tj
0 -2.957 Td 0 -25.339 Td (If you have any questions, please contact the person whose name and telephone number are shown above.) Tj
0 -2.957 Td 0 -25.339 Td (Thank you for your cooperation.) Tj
0 -2.957 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td /F2 8 Tf
-0.017 567.717 Td (Date:) Tj
/F0 10 Tf
423.3 -590.658 Td (Letter 1476 \(Rev. 8-2004\)) Tj
0 -9.935 Td /F2 8 Tf (Catalog Number 40741M) Tj
0 -1.522 Td 0 -9.028 Td -81.244 667.162 Td (Form Number:) Tj
0 -1.522 Td 0.26 28.534 Td (Employer Identification Number:) Tj
-0.624 -144.006 Td (Person to Contact/ID Number:) Tj
0.238 27.088 Td (Plan Year\(s\) Ended:) Tj
/F1 12 Tf
-71.138 -316.712 Td (Sincerely,) Tj
0 -2.957 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td -270.6 54.371 Td (Enclosure:) Tj
0 -14.148 Td (List of Additional Items Requested) Tj
0 -2.957 Td 0 -14.148 Td 0 -14.148 Td 0 -14.148 Td /F2 8 Tf
342.102 493.14 Td (Plan Number:) Tj
0 -1.522 Td -0.422 39.464 Td (Name of Plan:) Tj
ET
endstream
endobj
7 0 obj
2051 
endobj
5 0 obj
<<
/Type /Page
/Parent 3 0 R
/Resources << /ProcSet [ /PDF /Text ] /Font << /F0 8 0 R /F1 11 0 R /F2 14 0 R >> >>
/MediaBox [ 0 0 612 792 ]
/Contents 6 0 R
/Annots 40 0 R
>>
endobj
17 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 725 324 741 ]
/T (OPERATING_DIVISION)
/FT /Tx
/DA (/HeBo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
18 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 709 324 724 ]
/T (IRS_CONTACT_LINE1_ADDR)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
19 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 692 324 708 ]
/T (IRS_CONTACT_LINE2_ADDR)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
20 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 676 324 692 ]
/T (IRS_CONTACT_LINE3_ADDR)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
21 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 660 324 675 ]
/T (IRS_CONTACT_LINE4_ADDR)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
22 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 643 324 659 ]
/T (IRS_CONTACT_LINE5_ADDR)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
23 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 57 622 323 638 ]
/T (LETTER_DT)
/FT /Tx
/DA (/Helv 10 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
24 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 599 324 615 ]
/T (ENTITY_LINE1_NM)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
25 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 583 324 599 ]
/T (LINE1_ADDR)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
26 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 568 324 583 ]
/T (LINE2_ADDR)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
27 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 552 324 568 ]
/T (LINE3_ADDR)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
28 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 536 324 552 ]
/T (LINE4_ADDR)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
29 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 36 521 324 537 ]
/T (LINE5_ADDR)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
30 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 387 694 576 708 ]
/T (CONVERTED_KEY_TIN_GRP)
/FT /Tx
/DA (/Helv 10 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
31 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 387 668 576 681 ]
/T (RETURN_FORM_TYP)
/FT /Tx
/DA (/Helv 10 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
32 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 387 629 575 655 ]
/T (PLAN_NM)
/FT /Tx
/DA (/Helv 10 Tf 0 g)
/Maxlen 16000
/F 4
/Ff 4096
>>
endobj
33 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 387 605 576 618 ]
/T (PLAN_NUM)
/FT /Tx
/DA (/Helv 10 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
34 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 387 578 576 591 ]
/T (PLAN_PERIOD_1)
/FT /Tx
/DA (/Helv 10 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
35 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 387 550 576 563 ]
/T (IRS_CONTACT_NM)
/FT /Tx
/DA (/Helv 10 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
36 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 387 523 576 536 ]
/T (IRS_CONTACT_TELEPHONE_NUM)
/FT /Tx
/DA (/Helv 10 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
37 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 249 425 348 441 ]
/T (SUBMISSION_DT)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
38 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 306 233 576 249 ]
/T (SIGNATURE_NM)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
39 0 obj
<< 
/Type /Annot
/Subtype /Widget
/Rect [ 306 216 576 232 ]
/T (SIGNATURE_TTL)
/FT /Tx
/DA (/TiRo 12 Tf 0 g)
/Maxlen 16000
/F 4
>>
endobj
40 0 obj
[
17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 
25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 
33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 
]
endobj
44 0 obj
<<
/AcroForm 0.8
/DR 45 0 R
/DA (/TiRo 10 Tf 0 g)
/Fields
[
17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 
25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 
33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 
]
>>
endobj
45 0 obj
<< 
/Font << /Helv 43 0 R /HeBo 41 0 R /TiRo 42 0 R >>
>>
endobj
43 0 obj
<< 
/Type /Font
/Subtype /Type1
/Name /Helv
/BaseFont /Helvetica
/FirstChar 32
/LastChar 255
/Encoding 46 0 R
>>
endobj
41 0 obj
<< 
/Type /Font
/Subtype /Type1
/Name /HeBo
/BaseFont /Helvetica-Bold
/FirstChar 32
/LastChar 255
/Encoding 46 0 R
>>
endobj
42 0 obj
<< 
/Type /Font
/Subtype /Type1
/Name /TiRo
/BaseFont /Times-Roman
/FirstChar 32
/LastChar 255
/Encoding 46 0 R
>>
endobj
46 0 obj
<< 
/Type /Encoding
/Differences [
24 /breve /caron /circumflex /dotaccent /hungarumlaut /ogonek /ring
/tilde 39 /quotesingle 96 /grave 128 /bullet /dagger /daggerdbl
/ellipsis /emdash /endash /florin /fraction /guilsinglleft /guilsinglright
/minus /perthousand /quotedblbase /quotedblleft /quotedblright /quoteleft
/quoteright /quotesinglbase /trademark /fi /fl /Lslash /OE /Scaron
/Ydieresis /Zcaron /dotlessi /lslash /oe /scaron /zcaron 160 /Euro
164 /currency 166 /brokenbar 168 /dieresis /copyright /ordfeminine
172 /logicalnot /.notdef /registered /macron /degree /plusminus
/twosuperior /threesuperior /acute /mu 183 /periodcentered /cedilla
/onesuperior /ordmasculine 188 /onequarter /onehalf /threequarters
192 /Agrave /Aacute /Acircumflex /Atilde /Adieresis /Aring /AE /Ccedilla
/Egrave /Eacute /Ecircumflex /Edieresis /Igrave /Iacute /Icircumflex
/Idieresis /Eth /Ntilde /Ograve /Oacute /Ocircumflex /Otilde /Odieresis
/multiply /Oslash /Ugrave /Uacute /Ucircumflex /Udieresis /Yacute
/Thorn /germandbls /agrave /aacute /acircumflex /atilde /adieresis
/aring /ae /ccedilla /egrave /eacute /ecircumflex /edieresis /igrave
/iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex
/otilde /odieresis /divide /oslash /ugrave /uacute /ucircumflex
/udieresis /yacute /thorn /ydieresis
]
>>
endobj
8 0 obj
<< 
/Type /Font
/Subtype /TrueType
/Name /F0
/BaseFont /Arial,Bold
/FirstChar 30
/LastChar 255
/Encoding /WinAnsiEncoding
/FontDescriptor 9 0 R
/Widths 10 0 R
>>
endobj
9 0 obj
<< 
/Type /FontDescriptor
/Flags 32
/FontName /Arial,Bold
/FontBBox [ -628 -376 2034 1010 ]
/MissingWidth 750
/StemV 85
/StemH 85
/ItalicAngle 0
/CapHeight 905
/XHeight 633
/Ascent 905
/Descent -212
/Leading 150
/MaxWidth 2662
/AvgWidth 479
>>
endobj
10 0 obj
[
750 750 278 333 474 556 556 889 722 238 333 333 389 584 278 333 
278 278 556 556 556 556 556 556 556 556 556 556 333 333 584 584 
584 611 975 722 722 722 722 667 611 778 722 278 556 722 611 833 
722 778 667 778 722 667 611 722 667 944 667 667 611 333 278 333 
584 556 333 556 611 556 611 556 333 611 611 278 278 556 278 889 
611 611 611 611 389 556 333 611 556 778 556 556 500 389 280 389 
584 750 556 750 278 556 500 1000 556 556 333 1000 667 333 1000 750 
611 750 750 278 278 500 500 350 556 1000 333 1000 556 333 944 750 
500 667 278 333 556 556 556 556 280 556 333 737 370 556 584 333 
737 552 400 549 333 333 333 576 556 278 333 333 365 556 834 834 
834 611 722 722 722 722 722 722 1000 722 667 667 667 667 278 278 
278 278 722 722 778 778 778 778 778 584 778 722 722 722 722 667 
667 611 556 556 556 556 556 556 889 556 556 556 556 556 278 278 
278 278 611 611 611 611 611 611 611 549 611 611 611 611 611 556 
611 556 
]
endobj
11 0 obj
<< 
/Type /Font
/Subtype /TrueType
/Name /F1
/BaseFont /TimesNewRoman
/FirstChar 30
/LastChar 255
/Encoding /WinAnsiEncoding
/FontDescriptor 12 0 R
/Widths 13 0 R
>>
endobj
12 0 obj
<< 
/Type /FontDescriptor
/Flags 34
/FontName /TimesNewRoman
/FontBBox [ -568 -307 2028 1007 ]
/MissingWidth 778
/StemV 85
/StemH 85
/ItalicAngle 0
/CapHeight 891
/XHeight 623
/Ascent 891
/Descent -216
/Leading 149
/MaxWidth 2597
/AvgWidth 401
>>
endobj
13 0 obj
[
778 778 250 333 408 500 500 833 778 180 333 333 500 564 250 333 
250 278 500 500 500 500 500 500 500 500 500 500 278 278 564 564 
564 444 921 722 667 667 722 611 556 722 722 333 389 722 611 889 
722 722 556 722 667 556 611 722 722 944 722 722 611 333 278 333 
469 500 333 444 500 444 500 444 333 500 500 278 278 500 278 778 
500 500 500 500 333 389 278 500 500 722 500 500 444 480 200 480 
541 778 500 778 333 500 444 1000 500 500 333 1000 556 333 889 778 
611 778 778 333 333 444 444 350 500 1000 333 980 389 333 722 778 
444 722 250 333 500 500 500 500 200 500 333 760 276 500 564 333 
760 500 400 549 300 300 333 576 453 250 333 300 310 500 750 750 
750 444 722 722 722 722 722 722 889 667 611 611 611 611 333 333 
333 333 722 722 722 722 722 722 722 564 722 722 722 722 722 722 
556 500 444 444 444 444 444 444 667 444 444 444 444 444 278 278 
278 278 500 500 500 500 500 500 500 549 500 500 500 500 500 500 
500 500 
]
endobj
14 0 obj
<< 
/Type /Font
/Subtype /TrueType
/Name /F2
/BaseFont /Arial
/FirstChar 30
/LastChar 255
/Encoding /WinAnsiEncoding
/FontDescriptor 15 0 R
/Widths 16 0 R
>>
endobj
15 0 obj
<< 
/Type /FontDescriptor
/Flags 32
/FontName /Arial
/FontBBox [ -665 -325 2028 1006 ]
/MissingWidth 750
/StemV 85
/StemH 85
/ItalicAngle 0
/CapHeight 905
/XHeight 633
/Ascent 905
/Descent -212
/Leading 150
/MaxWidth 2693
/AvgWidth 441
>>
endobj
16 0 obj
[
750 750 278 278 355 556 556 889 667 191 333 333 389 584 278 333 
278 278 556 556 556 556 556 556 556 556 556 556 278 278 584 584 
584 556 1015 667 667 722 722 667 611 778 722 278 500 667 556 833 
722 778 667 778 722 667 611 722 667 944 667 667 611 278 278 278 
469 556 333 556 556 500 556 556 278 556 556 222 222 500 222 833 
556 556 556 556 333 500 278 556 500 722 500 500 500 334 260 334 
584 750 556 750 222 556 333 1000 556 556 333 1000 667 333 1000 750 
611 750 750 222 222 333 333 350 556 1000 333 1000 500 333 944 750 
500 667 278 333 556 556 556 556 260 556 333 737 370 556 584 333 
737 552 400 549 333 333 333 576 537 278 333 333 365 556 834 834 
834 611 667 667 667 667 667 667 1000 722 667 667 667 667 278 278 
278 278 722 722 778 778 778 778 778 584 778 722 722 722 722 667 
667 611 556 556 556 556 556 556 889 500 556 556 556 556 278 278 
278 278 556 556 556 556 556 556 556 549 611 556 556 556 556 500 
556 500 
]
endobj
3 0 obj
<< 
/Type /Pages 
/Count 1 
/Kids [ 5 0 R ]
/MediaBox [ 0 0 612 792 ]
>>
endobj
2 0 obj
<< 
/Type /Catalog 
/Pages 3 0 R 
/AcroForm 44 0 R
>> 
endobj
xref
0 47
0000000000 65535 f
0000000015 00000 n
0000012455 00000 n
0000012367 00000 n
0000000233 00000 n
0000002389 00000 n
0000000264 00000 n
0000002368 00000 n
0000008224 00000 n
0000008401 00000 n
0000008660 00000 n
0000009605 00000 n
0000009787 00000 n
0000010050 00000 n
0000010992 00000 n
0000011166 00000 n
0000011421 00000 n
0000002578 00000 n
0000002729 00000 n
0000002884 00000 n
0000003039 00000 n
0000003194 00000 n
0000003349 00000 n
0000003504 00000 n
0000003646 00000 n
0000003794 00000 n
0000003937 00000 n
0000004080 00000 n
0000004223 00000 n
0000004366 00000 n
0000004509 00000 n
0000004664 00000 n
0000004813 00000 n
0000004963 00000 n
0000005105 00000 n
0000005252 00000 n
0000005400 00000 n
0000005559 00000 n
0000005706 00000 n
0000005852 00000 n
0000005999 00000 n
0000006631 00000 n
0000006765 00000 n
0000006502 00000 n
0000006183 00000 n
0000006428 00000 n
0000006896 00000 n
trailer
<<
/Size 47 
/Root 2 0 R
/Info 1 0 R
>>
startxref
12526
%%EOF