FORM 1023-EZ for CABOT SMALL TOWN AMATEUR RADIO SERVICE INCORPORATED

Field Data
EIN 46-3078381
Case Number EO-2016130-000053
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CABOT SMALL TOWN AMATEUR RADIO SERVICE INCORPORATED
Organization’s Mailing Address PO BOX 716
City CABOT
State AR
ZIP 72023-0716
Accounting period End 12
Primary contact name MASON CREAGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANE LEE
INCORPORATOR/ORGANIZER
22 ROLLING HILLS DR
CABOT AR 72023-7724

Officer/Director/Trustee Two

MASON CREAGER
DIRECTOR
706 W MOUNTAIN SPRINGS RD
CABOT AR 72023-7049

Officer/Director/Trustee Three

JAMES COPE
DIRECTOR
22 VILSONIA WAY
VILONIA AR 72173-9816

Officer/Director/Trustee Four

FRANK ADKINS
DIRECTOR
33 SUNRISE PL
CABOT AR 72023-2048

Officer/Director/Trustee Five

DARIN DYKES
DIRECTOR
135 ARCHER LN
BEEBE AR 72012-9528

Organization’s website WWW.W5STR.ORG
Organization’s email W5STR@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2014
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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