Form 3500a 2016-2025

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The document is a California Form 3500A for submitting an exemption request based on specific Internal Revenue Code sections (501(c)(3), 501(c)(4), 501(c)(5), 501(c)(6), or 501(c)(7)). It requires organizations to provide their information, gross receipts, and details about their purpose and activities. Additionally, it includes sections for representative contact information and instructions for mailing the form along with a federal determination letter.

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What is Form 3500A?

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).

What is the difference between 3500 and 3500A?

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.

How many days must a FDA mandatory reporting form 3500A be submitted to the FDA?

Initial reporting: Any unanticipated adverse event suspected to be caused/associated with a device must be reported to the FDA and the reviewing IRB within 10 working days of the event.

What is Form 3500 used for?

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.

What is the difference between MedWatch Form 3500 and 3500A?

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.

What is the purpose of the FDA form?

The Form FDA 483 notifies the companys management of observed objectionable conditions. At the conclusion of an inspection, the Form FDA 483 is presented and discussed with the companys senior management.

What is the FDA Form 3500 used for?

Form FDA 3500 may be used by health professionals or consumers for VOLUNTARY reporting of adverse events, product use/medication errors, product quality problems, and therapeutic failures for: Prescription and over-the-counter medicines including those administered in a hospital or outpatient infusion centers.

Where do I file Form 3500A?

Mail form FTB 3500A and a copy of the federal determination letter to: EXEMPT ORGANIZATIONS UNIT, MS F120, FRANCHISE TAX BOARD, PO BOX 1286, RANCHO CORDOVA CA 95741-1286.

Form 3500a 2016-2025

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