FORM 1023-EZ for PALATKA AMATEUR RADIO CLUB INC

Field Data
EIN 45-2391123
Case Number EO-2016232-000372
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALATKA AMATEUR RADIO CLUB INC
Organization’s Mailing Address PO BOX 1082
City PALATKA
State FL
ZIP 32178
Accounting period End 12
Primary contact name JOSPEH S KIRBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY MOTL
PRESIDENT
103 W FLAMINGO DR
PALATKA FL 32177

Officer/Director/Trustee Two

JAMES BOHANNON
TREASURER
873 STATE RD 20
INTERLACHEN FL 32148

Officer/Director/Trustee Three

BERYL PETERSON
CHAIRMAN OF BOARD
109 LYNSEY LN
PALATKA FL 32177

Officer/Director/Trustee Four

GEORGE PARCHER
BOARD MEMBER
120 TIMBER LN
PALATKA FL 32177

Officer/Director/Trustee Five

JOSEPH KIRBY
VICE PRESIDENT
119 TIMBER LN
PALATKA FL 32177

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/1991
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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
Signature Title
Signature Date

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