2. Wizard

Form 13909

(Rev. 11-2023)

Tax-Exempt Organization Complaint (Referral)

OMB Number 1545-2314

Catalog Number 50614A

Instructions

General Information

The information provided on this form will help the Internal Revenue Service (IRS) determine if there has been a violation of federal tax law. The Tax Exempt and Government Entities (TEGE) division is responsible for exempt organizations, employee plans, Indian tribal governments, tax exempt bonds, and federal, state and local governments. Submission of this form is voluntary. Upon receipt of this form, the IRS will send you a letter acknowledging receipt of the information you submitted. If at a later date you wish to submit additional information regarding the organization, please attach a copy of the form initially submitted, and send it to the address shown above.

Provide the current name and address of the organization. If the organization has used prior or multiple name(s) or address(es), also provide that information.

All fields marked with an asterisk (*) are required.

Please enter a valid zip code, please include dash if providing full zip code. ex: 12345-6789

Enter the date you submit the completed form

Enter EIN with no dashes only numbers

The EIN is a nine-digit number, issued by the IRS, that the organization uses for tax purposes (like a Social Security Number (SSN) for an individual). If the EIN is unavailable, include a state nonprofit corporation registration number, if available.

Provide specific details of the alleged violation including names, actions, places, amounts, dates, and the nature of any evidence or documentation (who, what, where, when, how). Include the names of other organizations, entities or persons that may be involved with the organization, providing EINs or SSNs, if available

All fields marked with an asterisk (*) are required.

Please enter the date(s) in MM/DD/YYYY format separated by spaces or commas. EX 12/24/2022 01/16/1998

Please enter dollar amounts separated by commas or spaces including cents. EX: 12.50,13.50,3125.00

Briefly describe the facts of the alleged violation – Who/What/Where/When/How you learned about and obtained the information in this report

    Provide your name, address, and business or occupation. Include your daytime telephone number, in case we wish to contact you. The acknowledgement letter will be sent to the address you provide.

     

    If you are concerned that you may face retribution if your identity is disclosed, check the box. You may enter “Anonymous” for Submitter’s name if you do not want to be identified.

    All fields marked with an asterisk (*) are required.

    Please enter a valid zip code, please include dash if providing full zip code. ex: 12345-6789

    Please enter telephone number including spaces and symbols. ex: +01 999-999-9999

    All fields marked with an asterisk (*) are required.

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