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Form 480.70(OE) Rev. 05.00

Reviewer:

200__

Liquidator:

COMMONWEALTH OF PUERTO RICO

Serial Number

DEPARTMENT OF THE TREASURY

Field Audited By:

Informative Return for

AMENDED RETURN

Income Tax Exempt Organizations

Receipt Stamp

Date ___/ ___/ ___

UNDER SECTION 1101 OF THE PUERTO RICO INTERNAL REVENUE CODE

OF 1994, AS AMENDED

TAXABLE YEAR BEGINNING ON

__________________ 200_____ AND ENDING ON _________________ 200_____

Employer's Identification Number

Organization's Name

Postal Address

State Department Registry Number

Municipal Code

Zip Code

Telephone Number - Extension

Location of Organization - Number, Street, City

Date Incorporated

Day____/ Month____/ Year____

Type of Activities (ie. Educational, Charitable, etc.)

Place Incorporated

Filing Date: Day___ Month___ Year___

Type of organization:

Case No.___________

Date operations began

Corporation

Association not incorporated

Paragraph of Section 1101 under which the exemption

Day____/ Month____/ Year____

Trust

Others(Indicate)______________

was granted ______________________

Part I

Questionnaire

Yes No

If you do not have a case number, did you request the exemption

Indicate if, a) do you have employees in your organization? ..

(8a)

under Section 1101 of the Code? If you checked yes, indicate the

b) If you checked yes, did you file the Withholding Statements?.

(8b)

(1)

date requested and paragraph of Section 1101 under which you

requested: __________________________________________

Indicate if, a) have you contracted professional services? ...

(9a)

If you have not requested tax exemption, do not complete

If you checked yes, b) have you filed the Informative Returns

this form. You must file Form 480.20 (Corporation Income

(Forms 480.5, 480.6A, 480.6B, 480.6C, 480.7)? ..................

(9b)

Tax Return).

c) have you made the 7% withholding? .................................

(9c)

Does the administrative opinion under which tax exemption

10.

Indicate if, a) have you made payments to entities not engaged

was granted have special conditions? .....................................

in industry or business in Puerto Rico? ..................................

(10a)

(2)

b) did you make the withholding at source? .........................................

(10b)

Indicate if the organization has exemption under the Federal

Internal Revenue Code. If you checked yes, indicate the date

11.

If the organization is exempt under Section 1101(10) of the Code,

(3)

it was granted (submit copy): __________________________

indicate the name of the organization that holds the title to property:

____________________________________________________

Has the organization been investigated or is currently under

investigation by the Department of the Treasury? .................

12.

Is the organization a successor from other organization

(4)

that previously existed? ........................................................

(12)

The books are in care of ____________________________

Name ___________________________________________

____________________________________________________

Address ________________________________________

Address: ________________________________________

________________________________________________

______________________________________________________

________________________________________________

13.

If the organization is a registered investment company or a

Accounting method used:

real estate investment trust, did you file the documents or

Cash

Accrual

Other(s)

information required? ........................................................

(6a)

(6b)

(6c)

(13)

If you checked other(s), explain:_______________________

______________________________________________________

14.

Did you lease real estate property to (or) from other person

or groups of persons related to the organization? ................

(14)

During this year, a) did the organization derive income from

non-related activities? ...........................................................

15.

Indicate number of members ______________________

(7a)

b) If you checked yes, did you file Form 480.20 this year?....

Number of stockholders _____________________

(15a)

(7b)

Indicate the non-related activities and the purposes of the

Common ___________

Preferred __________

organization ______________________________________

________________________________________________

16.

Are you up to date in the filing of Annual Reports (Good

________________________________________________

Standing) with the State Department? .................................

(16)

Form 480.70(Oe) - Informative Return For Income Tax Exempt Organizations - Puerto Rico Department Of The Treasury

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