Feb 4, 2013 Meeting w/ Notes

Form 8868 I Application for Extension of Time To File an
(Rev January 2012) Exempt Organization Return OMB No. 1545 -1709
Department of the Treasury ►
Internal Revenue Service File a separate application for each return.
• If you are filing for an Automatic 3 -Month Extension, complete only Part I and check this box ....... ............................... ► U
• If you are filing for an Additional (Not Automatic) 3 -Month Extension, complete only Part 11 (on page 2 of this form).
Do not complete Part fl unless you have already been granted an automatic 3 -month extension on a previously filed Form 8868.
Electronic filing (e- file). You can electronically file Form 8868 if you need a 3 -month automatic extension of time to file (6 months for a
corporation required to file Form 990 -T), or an additional (not automatic) 3 -month extension of time. You can electronically file Form 8868 to
request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, Information Return for Transfers
Associated With Certain Personal Benefit Contracts, which must be sent to the IRS in paper format (see instructions). For more details on the
electronic filing of this form, visit www.irs.govlefile and click on a -file for Charities & Nonprofits.
h_ft f � Automatic 3 -Month Extension of Time. Only submit_ original (no copies needea).
A corporation required to file Form 990 -T and requesting an automatic 6 -month extension — check this box and complete Part I only..... ►
All other corporations (including 1120 -C filers), partnerships, REMICS, and trusts must use Form 7004 to request an extension of time to file
income tax returns.
Name of exempt organization or other filer, see instructions.
Type or Animas - La Plata Operation,
print Maintenance and Replacement Association
File by the Number, street, and room or suite number. If a P.O. box, see instructions.
due date for
filing your
return. See 125 Smelter Place
instructions. City, town or post office, state, and ZIP code. For a foreign address, see instructions.
Duranao, CO 81303
Enter filer's identifying number, see instructions
Employer identification number (EIN) or
27- 2243048
Social security number (SSN)
Enter the Return code for the return that this application is for (file a separate application for each return ) ........................... o—
Application
Is For
Return
Code
Application
Is For
Return
Code
Form 990
01
Form 990 -T (corporation)
07
Form 990 -BL
02
Form 1041 -A
08
Form 990 -EZ
01
Form 4720
09
Form 990 -PF
04
Form 5227
10
Form 990 -T section 401 a or 408(a) trust)
05
Form 6069
11
Form 990 -T (trust other than above)
06
Form 8870
12
• The books are, in the care of . ►
------------------------------ - - - - --
Telephone No.. ►_ ___ __ __ __ __ FAX No. 11 • If the organization does not have an office or place of business in the United States, check this box . ............................... ►
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group,
check this box..... ► ❑ -If it is for part of the group, check this box .. ► ❑ and attach a list with the names and EINs of all members
the extension is for
1 I request an automatic 3 -month (6 months for a corporation required to file Form 990 -T) extension of time
until __5/15 __ 120 _1_3_, to file the exempt organization return for the organization named above.
The extension is for the organization's return for:
► calendar year 20 or
X tax year beginning 10/01----, 20 11 —, and ending __P/30___., 20 12_.
2 If the tax year entered in line 1 is for less than 12 months, check reason: ❑ Initial return ❑ Final return
[]Change in accounting period
3a If this application is for Form 990 -BL, 990 -PF, 990 -T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions ....................... ................ I ............. .....
.....
b If this application is for Form 990 -PF, 990 -T, 4720, or 6069, enter any refundable credits and estimated tax
Davments made. Include any Drior year overDavment allowed as a credit ............................... .
c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by using
EFTPS (Electronic Federal Tax Payment System). See Instructions ...... ...............................
$ 0.
$ 0.
$ 0.
Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453 -EO and Form 8879 -EO for
payment instructions.
BAA For Paperwork Reduction Act Notice, see Instructions.
FIFZ0501L 01/04/12
Form 8868 (Rev 1 -2012)