501(c)(3) Letter of Determination Approval. The letter of determination states that after review of the application, tax-exempt status is granted for exemption under the 501(c)(3) tax code. Letter content varies based on the ruling. 1  The dated letter states whether the nonprofit is a public charity or private foundation.omplete and submit Form 4506-A to the IRS to request a copy of an original 501(c)(3) determination letter. Instead of the form, you also may submit a written letter that includes the nonprofitâs name and EIN, as well as your contact information. Fax or mail the request to the IRS.
Calcium Deficiency. A calcium deficiency, or hypocalcemia, can also cause severe cramping in your toes. According to Merck Manuals, 99 percent of your body's calcium is stored in your bones.However, your blood cells and skeletal muscles also require calcium to function properly.ow calcium levels cause severe cramping in your toes. Getting enough sun each day, without sunscreen, is the best way to avoid a vitamin D deficiency. It doesn't occur naturally in many foods, but you can get vitamin D from fortified milk and breakfast cereals.
Dear Kato: Darkening of the toes that hurt could result from compromised blood supply to those toes, leading to a condition called gangrene. Gangrene may occur after an injury or infection, or in people suffering from any chronic health problems, affecting blood circulation such as diabetes. It also often occurs in the toes and feet of elderly patients due to arteriosclerosis, a condition also known as senile gangrene. Arteriosclerosis occurs when the blood vessels that carry oxygen and nutrients from a particular area become thick and stiff, many times ending up restricting blood flow, in this case to the toes. Also, over a long period of time, people such as those with diabetes may have a buildup of fats, cholesterol and other substances in the arteries which may restrict blood flow.