FORM 1023-EZ for APPALACHIAN REPEATER ASSOCIATION LTD

Field Data
EIN 55-0706621
Case Number EO-2016225-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APPALACHIAN REPEATER ASSOCIATION LTD
Organization’s Mailing Address 697 COUNTRY CLUB DRIVE
City BEAVER
State WV
ZIP 25813
Accounting period End 12
Primary contact name MARK KELLEY JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS HATCHER
PRESIDENT
697 COUNTRY CLUB DRIVE
BEAVER WV 25813

Officer/Director/Trustee Two

MARK KELLEY
VICE PRESIDENT
1487 KIEFFER ROAD
CRAWLEY WV 24931

Officer/Director/Trustee Three

JAMES RICK MCCAUL JR
TREASURE
1487 KIEFFER ROAD
CRAWLEY WV 24931

Officer/Director/Trustee Four

MARK KELLEY JR
SECRETARY
1487 KIEFFER ROAD
CRAWLEY WV 24931

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/1991
Organization Incorporation State WV
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: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
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 Yes
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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