•Form ST-5
Sales Tax ExemptPurchaser Certificate
Rev. 6/09
Massachusetts
Department of
Revenue
State
MA
Part 1. Exempt taxpayer information. To be completed by exempt government or 501 (c)(3) organization.
Name
Smithsonian Institution - Astrophysical ObservatoryAddress
60 Garden StreetCity
CambridgeExemption number
530-206-027
Zip
02138-1516
Issue date
01-04-89Date ot expiration of certificate
None
Certification is hereby made that the organization named above is an exempt purchaser under Massachusetts General Laws, Chapter 64H, sections 6(d)or 6(e). All purchases of tangible personal property or services by this organization are exempt from taxation under said chapter to the extent that suchproperty or services are used in the conduct of the business of the purchaser. Any abuse or misuse of this certificate by any tax-exempt organization orany unauthorized use of this certifi te by any individual constitutes a serious violation and will lead to revocation.
Signature ~,/ Trtle Date
"-J.5~"/4 Mgr, Sponsored Prgms & Procurement 10-14-2010
certificate may result in criminal tax evasion sanctions of up to one year in prison and $10,000 ($50,000 for
Part 2. Agent information. To be completed by agent of exempt government or 501 (c)(3) organization.
Name of agent's organization
Address
City
Agent's name
Address
City
State
State
Zip
Zip
I certify that in making this purchase, I am acting as an agent for the exempt organization named above (select one):o Govemment organization (local public school, city/town govemment, state agency, etc.).
Attach Form ST-2, if available. If Form ST-2 is not available, enter exemption number, if known: _
o 501 (c)(3) organization (parochial school, Scout troop, etc.). Form ST-2 must be attached.
Signature Trtle Date
Part 3. Vendor informationVendor's name
Check applicable box:[J Single purchase certificate (attach detailed receipts or complete Part 4, on reverse)oBlanket certificate
This fonm is approved by the Commissioner of Revenue and may be reproduced.
Part 4. Description of property purchasedDate Description Quantity Cost
$
$
$
$
$
$
$
$
$
$
$
~ $
$
$
$
$
$
$
Total cost $
ST.2 MASSACHUSETTS DEPARTMENT OF REVENUE
CERTIFICATE OF EXEMPTION
Cerllficatlon is hereby made that the organization r,ereln 'lamed IS an exempt purchaser under General Laws, Chapter 64H, Sectrons 6(d)and (el. All purchases of tangible personal property by this organization are exempt from taxation under said chapter to the extent thatsuch property is used in the conduct of the business 0: the purchaser. Any abuse or misuse of this certificate by any tax.exemptorganization or any unauthorized use of this certificate by any injividual constitutes a s~"ous violation and will lead to revocation.Willful misuse of this Certificate of Exemption is subject to criminal sanctions of up to 1 year in prison and $10,000 (SSO,OOO forcorporations) In fines. (See reverse side).
SMITHSONIAN INSTITUTION1000 JEFFERSON DRIVE SOUTHWESTWASHINGTON DC 20560
NOT ASSIGNABLE OR TRANSFERABLE
EXEMPTION NUMBER E
530-206-027ISSUE DATE
01-04-89CERTIFICATE EXPIRES ON
NONE
COMMISSIONER OF REVENUE
STEPHEN W. KIDDER