Form 3500a 2016-2026

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  1. Click ‘Get Form’ to open the form 3500a 2016 in the editor.
  2. Begin by entering your organization information, including the California corporation number, FEIN, and the name as shown in your creating document. Ensure all details are accurate.
  3. Fill in the representative information section with the contact person's name and telephone number. Include their mailing address for any correspondence.
  4. In Part I, select the entity type by checking the appropriate box. Answer whether the IRS considers your organization a private foundation and provide the establishment date.
  5. Report gross receipts for the current year and previous three years. Use our platform's tools to easily input these figures without hassle.
  6. Complete Part II if applying for a group exemption by indicating 'Yes' or 'No' and attaching necessary documents if applicable.
  7. In Part III, check off your organization's primary purpose and activity based on IRC sections relevant to your exemption request.
  8. Finally, review all entries for accuracy before signing and dating at the bottom of the form. Use our platform’s features to save or print your completed document.

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Please submit the completed MedWatch 3500A form along with information to support the report, such as scans of labels and images of the serious adverse event, to FDA via: Email (preferred method for faster processing and reviewing): CosmeticAERS@fda.hhs.gov.
Form FDA 3500A is used for mandatory reporting required of manufacturers, packers and distributors of medications and biologics; and of all manufacturers, importers and user-facilities for medical devices.
The purpose of form FTB 3500 is to apply for tax-exempt status from California franchise and income tax. If the organization provides all answers and documents required, the FTB will determine if the organization qualifies for tax‑exempt status.
Purpose. Use form FTB 3500A to obtain California tax-exempt status, if the organization has a federal determination letter granting exemption under IRC Sections 501(c)(3), 501(c)(4), 501(c)(5), 501(c)(6), 501(c)(7), or 501(c)(19).
Form 3500 should be used by health care professionals, and Form 3500B should be used by patients and consumers. Reporting by health care professionals, patients, and consumers is voluntary. Form 3500A is designed for industry, which has mandatory adverse event reporting requirements.

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The MedWatch form, also known as Form FDA 3500A, is used for mandatory reporting of medical device adverse events by manufacturers, user facilities and importers. Form FDA 3500, a condensed version of 3500A, is used for voluntary reporting of adverse events by healthcare professionals, consumers and patients.

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