FORM 1023-EZ for AVERY COUNTY AMATEUR RADIO CLUB INC

Field Data
EIN 82-2842354
Case Number EO-2018323-000645
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AVERY COUNTY AMATEUR RADIO CLUB INC
Organization’s Mailing Address 187 CLAUDE ISAACS ROAD
City ELK PARK
State NC
ZIP 28622
Accounting period End 12
Primary contact name MICHAEL L M JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT PAYNE
PRESIDENT
1535 DARK RIDGE ROAD
ELK PARK NC 28622

Officer/Director/Trustee Two

WADE HICKS
VICE-PRESIDENT
74 HICKS BUCHANAN LANE
ELK PARK NC 28622

Officer/Director/Trustee Three

JONATHAN SHEPPARD
SECRETARY
187 CLAUDE ISAACS ROAD
ELK PARK NC 28622

Officer/Director/Trustee Four

DANNY HORNEY
TREASURER
2114 ROMINGER ROAD
BANNER ELK NC 28604

Organization’s website NONE
Organization’s email KM4YBK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M19 - Nonmonetary Support N.E.C.
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 No
Correctness Declaration Yes
Signature Name JONATHAN SHEPPARD
Signature Title SECRETARY
Signature Date 11/17/18

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