PDF-Form S Department of the Treasury Internal Revenue Service Foreign Persons U

S Source Income Subject to Withholding Information about Form 1042S and its separate instructions is at wwwirsgovform1042 20 14 AMENDED PRORATA BASIS REPORTING OMB No 15450096 Copy A for Internal Revenue Service 1 Income code 2 Gross income Chap 3 3a. Attach to Form 990 Information about Schedule D Form 990 and its instructions is at wwwirsgovform990 OMB No 15450047 20 14 Open to Public Inspection Name of the organization Employer identification number Part I Organizations Maintaining Donor Advis 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 2555 and its separate instructions is at wwwirsgovform2555 OMB No 15450074 20 14 Attachment Sequence No 34 For Use by US Citizens and Resident Aliens Only Name shown on Form 1040 Your social security number Part I General Info 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 Information about Form 2555EZ and its separate instructions is at wwwirsgovform2555ez OMB No 15450074 Attachment Sequence No 34A Name shown on Form 1040 Your social security number You May Use This Form If You Are a US citizen or a resident alien Information about Form 8835 and its separate instructions is at wwwirsgovform8835 OMB No 15451362 20 13 Attachment Sequence No 95 Names shown on return Identifying number Part I Electricity Produced at Qualified Facilities Placed in Service Before O Information about Form 8863 and its separate instructions is at wwwirsgovform8863 OMB No 15450074 20 14 Attachment Sequence No 50 Names shown on return Your social security number CAUTION Complete a separate Part III on page 2 for each student for w Information about Schedule D Form 1120 and its separate instructions is at wwwirsgovform1120 OMB No 15450123 20 14 Name Employer identification number Part I ShortTerm Capital Gains and LossesAssets Held One Year or Less See instructions for how to For information about Form 8839 and its separate instructions see wwwirsgovform8839 OMB No 15450074 20 14 Attachment Sequence No 38 Names shown on return Your social security number Part I Information About Your Eligible Child or Children You must c Attach to Form 990 Information about Schedule J Form 990 and its instructions is at wwwirsgovform990 OMB No 15450047 20 14 Open to Public Inspection Name of the organization Employer identification number Part I Questions Regarding Compensation Yes 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 Department of the Treasury Internal Revenue Service Change of Address For Individual Gift Estate or Generation-Skipping Transfer Tax Returns Please type or print See instructions on back Do not a Do not sign this form unless all applicable lines have been completed Request may be rejected if the form is incomplete or illegible For more information about Form 4506 visit wwwirsgov/form4506OM