FORM 1023-EZ for VALDOSTA AMATEUR RADIO SOCIETY INC

Field Data
EIN 82-0946869
Case Number EO-2020043-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VALDOSTA AMATEUR RADIO SOCIETY INC
Organization’s Mailing Address 5028 CYPRESS LAKE DR
City LAKE PARK
State GA
ZIP 31636
Accounting period End 12
Primary contact name WALT DIX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARTHUR HERRING
PRESIDENT
4903 HICKORY GROVE RD N
VALDOSTA GA 31606

Officer/Director/Trustee Two

RANDY BRIGHTMAN
SECRETARY
2747 RABBIT RIDGE RUN
VALDOSTA GA 31605

Officer/Director/Trustee Three

WALT DIX
CFO
5028 CYPRESS LAKE DR
LAKE PARK GA 31636

Officer/Director/Trustee Four

ROBERT LACEY
TRUSTEE
2204 WHITE OAK DR
VALDOSTA GA 31602

Organization’s website W4VLD.COM
Organization’s email W4VLD@GROUPS.IO
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2017
Organization Incorporation State GA
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: No
Religious: No
Educational: Yes
Scientific: No
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 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 No
Correctness Declaration Yes
Signature Name WALT DIX
Signature Title CFO
Signature Date 2/10/2020

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