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DEPARTMENT OF THE TREASURY 
INTERNAL REVENUE SERVICE 
CINCINNATI OH 45999-0023 
Date of this notice: 10-02-2014 
Employer Identification Number: 
47-1991566 
Form: SS-4 
Number of this notice: CP 575 G 
ANDRE MAURICE TERRELL 
MENTAL MONEY 
1804 E 14TH ST For assistance you may call us at: 
DAVENPORT, IA 52803 1-800-829-4933 
IF YOU WRITE, ATTACH THE 
STUB AT THE END OF THIS NOTICE. 
WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER 
Thank you for applying for an Employer Identification Number (EIN). We assigned you 
EIN 47-1991566. This EIN will identify you, your business accounts, tax returns, and 
documents, even if you have no employees. Please keep this notice in your permanent 
records. 
When filing tax documents, payments, and related correspondence, it is very important 
that you use your EIN and complete name and address exactly as shown above. Any variation 
may cause a delay in processing, result in incorrect information in your account, or even 
cause you to be assigned more than one EIN. If the information is not correct as shown 
above, please make the correction using the attached tear off stub and return it to us. 
A limited liability company (LLC) may file Form 8832, Entity Classification Election, 
and elect to be classified as an association taxable as a corporation. If the LLC is 
eligible to be treated as a corporation that meets certain tests and it will be electing S 
corporation status, it must timely file Form 2553, Election by a Small Business 
Corporation. The LLC will be treated as a corporation as of the effective date of the S 
corporation election and does not need to file Form 8832. 
To obtain tax forms and publications, including those referenced in this notice, 
visit our Web site at www.irs.gov. If you do not have access to the Internet, call 
1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. 
IMPORTANT REMINDERS: 
* Keep a copy of this notice in your permanent records. This notice is issued only 
one time and the IRS will not be able to generate a duplicate copy for you. You 
may give a copy of this document to anyone asking for proof of your EIN. 
* Use this EIN and your name exactly as they appear at the top of this notice on all 
your federal tax forms. 
* Refer to this EIN on your tax-related correspondence and documents. 
If you have questions about your EIN, you can call us at the phone number or write to 
us at the address shown at the top of this notice. If you write, please tear off the stub 
at the bottom of this notice and send it along with your letter. If you do not need to 
write us, do not complete and return the stub. 
Your name control associated with this EIN is TERR. You will need to provide this 
information, along with your EIN, if you file your returns electronically. 
Thank you for your cooperation.
(IRS USE ONLY) 575G 10-02-2014 TERR O 9999999999 SS-4 
Keep this part for your records. CP 575 G (Rev. 7-2007) 
---------------------------------------------------------------------------------------------- 
Return this part with any correspondence 
so we may identify your account. Please CP 575 G 
correct any errors in your name or address. 
9999999999 
Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 10-02-2014 
( ) - EMPLOYER IDENTIFICATION NUMBER: 47-1991566 
_____________________ _________________ FORM: SS-4 NOBOD 
INTERNAL REVENUE SERVICE ANDRE MAURICE TERRELL 
CINCINNATI OH 45999-0023 MENTAL MONEY 
1804 E 14TH ST 
DAVENPORT, IA 52803

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Cp575 notice 1412298069406

  • 1. DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 10-02-2014 Employer Identification Number: 47-1991566 Form: SS-4 Number of this notice: CP 575 G ANDRE MAURICE TERRELL MENTAL MONEY 1804 E 14TH ST For assistance you may call us at: DAVENPORT, IA 52803 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 47-1991566. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax-related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is TERR. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation.
  • 2. (IRS USE ONLY) 575G 10-02-2014 TERR O 9999999999 SS-4 Keep this part for your records. CP 575 G (Rev. 7-2007) ---------------------------------------------------------------------------------------------- Return this part with any correspondence so we may identify your account. Please CP 575 G correct any errors in your name or address. 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 10-02-2014 ( ) - EMPLOYER IDENTIFICATION NUMBER: 47-1991566 _____________________ _________________ FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE ANDRE MAURICE TERRELL CINCINNATI OH 45999-0023 MENTAL MONEY 1804 E 14TH ST DAVENPORT, IA 52803