FORM 1023-EZ for FLORIDA AMATEUR SPECTRUM MANAGEMENTASSOCIATION

Field Data
EIN 82-2379147
Case Number EO-2017219-000396
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORIDA AMATEUR SPECTRUM MANAGEMENTASSOCIATION
Organization’s Mailing Address 501 80TH AVE
City ST PETE BEACH
State FL
ZIP 33706-1605
Accounting period End 12
Primary contact name BRYAN FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN FIELDS
CHAIR/DIRECTOR
501 80TH AVE
ST PETE BEACH FL 33706

Officer/Director/Trustee Two

MIKE GONZALEZ
DIRECTOR
653 CRABTREE COURT
LEHIGH ACRES FL 33974

Officer/Director/Trustee Three

RYAN OWENS
DIRECTOR
6604 CAMDEN BAY DRIVE
TAMPA FL 33635

Officer/Director/Trustee Four

JON PEARL
DIRECTOR
5881 42ND AVE
ST PETERSBURG FL 33709

Officer/Director/Trustee Five

LUIS ROMERO
DIRECTOR
611 AMBASSADOR
DRIVE FL 33615

Organization’s website
Organization’s email HOSTING@FASMA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2017
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: Yes
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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