FTB 3502 2018
TAXABLE YEAR
2018
Nonprofit Corporation
Request for Pre-Dissolution Tax Abatement
CALIFORNIA FORM
3502
California Corporation number/California Secretary of State file number FEIN
Name of organization as shown in the creating document
Street address (suite, room, or PMB no.) Telephone
City State ZIP code
Name of representative to contact regarding additional requirements or information Telephone
Representativ
e’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 T
ax Board? 2 Yes No
3 Was the organization ever tax-exempt with the Internal Revenue Ser
vice? 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 Ye
s No
If yes, attach statement explaining circumstance. See instructions.
7 Does the organization have any undistributed assets? 7 Ye
s No
If yes, list description, distribution plan, and value of assets. See instructions.
Description and distribution plan Value of asset
8 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
To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to
ftb.ca.gov/forms and search for 1131. To request this notice by mail, call 800.852.5711. 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 Title Date
-
-
( )
-
-
( )
-
................
.
m m
m m
....................................... m m
............................................................
m m
.....................
m m
.....................................................
m m
.......................................................
m m
................................................................ m m
8501183
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .