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Part 1 Type of application New approval Renewal of approval u TFP number Any other Temporary Food Premise approval numbers relating to this application Expiry date of approval First event date Pa. Information about Form 8840 and its instructions is at wwwirsgovform8840 For the year January 1December 31 2014 or other tax year beginning 2014 and ending 20 OMB No 15450074 Attachment Sequence No 101 Your first name and initial Last name Your US Attach to Form 990 or Form 990EZ Information about Schedule L Form 990 or 990EZ and its instructions is at wwwirsgovform990 OMB No 15450047 20 14 Open To Public Inspection Name of the organization Employer identification number Part I Excess Benefit Information about Form 2441 and its separate instructions is at wwwirsgovform2441 1040A 1040 2441 1040NR OMB No 15450074 20 13 Attachment Sequence No 21 Names shown on return Your social security number Part I Persons or Organiza This form and the information provided are not substitutes for the advice and services of an attorney and tax specialist Commentary Subchapter C of chapter 4 of th e Texas Business Organizations Code BOC governs a certificate of correction A filing Information about Form 8917 and its instructions is at wwwirsgovform8917 OMB No 15450074 20 13 Attachment Sequence No 60 Names shown on return Your social security number CAUTION You cannot take both an education credit from Form 8863 and the tuitio This form and the information provided are not substitutes for the advice and services of an attorney and tax specialist Commentary Sections 3051 to 3056 of the Texas Business Organi zations Code BOC govern amendments to the certificate of formation 3738 for instructions Re Execution of an Appointment of Appointee Please see instructions I hereby appoint my relationship ShriSmt Appointee who has completed the age of eighteen years and whose address is as the person to receive the moneys There are several circumstance where a n application for consideration adjustments is provided by another method It is therefore important that you read and understand the GUIDEL INES SPECIAL CONSIDERATION pages pr ior to completing this form Secti Attach to Form 990 or Form 990EZ Information about Schedule L Form 990 or 990EZ and its instructions is at wwwirsgovform990 OMB No 15450047 20 14 Open To Public Inspection Name of the organization Employer identification number Part I Excess Benefit 2015 Furze Pla� Sixth Form Curriculum & Teaching Academic and Pastoral Support Extra - Curricular & Leadership Opportuni�es Outstanding Facili�es Progression from Fur Last Name: First Name: Initial: Last 4 digit of SS: XXX-XX- Sex: Male Female Telephone: Primary Language: Street Address: Zi 444444Page 6 of 1 opyromhegencyIncomeLetter attached Page 1 of Form 11 Definitions How we define spouse domestic contract owner financial institution waiver and consent Spouse The person you are marr InternationalociationOutstanding Cattery EthicsP 1 9564288046 wwwticaorg submitworkticaorg F 1 9564288047 Page 2 of 2 Revised 10 Aug 2017 PaymentInformationCreditUSpaypalticarg Include TransactioIDbe THE UNIVERSITY OF ALABAMA APPLICATION FOR VISITING SCHOLAR OR VISITING STUDENT STATUS NameSSN/CWID if none leave blankDate of Birth Citizenshipmark appropriate space belowUS Citizen/National US Perma