FORM 1023-EZ for PLAYGROUND AMATEUR RADIO CLUB

Field Data
EIN 23-7296768
Case Number EO-2015306-000417
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLAYGROUND AMATEUR RADIO CLUB
Organization’s Mailing Address PO BOX 873
City FORT WALTON BEACH
State FL
ZIP 32549-0873
Accounting period End 12
Primary contact name NEIL LIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NEIL LIGHT
PRESIDENT
115 HUGHES ST NE APT A4
FORT WALTON BEACH FL 32548-4456

Officer/Director/Trustee Two

CHARLES NISWONGER
VICE PRESIDENT
52 PORT DIXIE BLVD
SHALIMAR FL 32579-1825

Officer/Director/Trustee Three

MICHAEL FREGGER
TREASURER
511 BRIAN CIRCLE
MARY ESTHER FL 32569-1625

Officer/Director/Trustee Four

MAURICE HODGDON
SECRETARY
335 AUSTIN AVE
MARY ESTHER FL 32569-1303

Organization’s website W4ZBB.ORG
Organization’s email OFFICERS@W4ZBB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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