FORM 1023-EZ for FAYETTE COUNTY AMATEUR RADIO CLUB

Field Data
EIN 83-1309440
Case Number EO-2018206-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAYETTE COUNTY AMATEUR RADIO CLUB
Organization’s Mailing Address 805 GLYNN ST S STE 127 NUM 313
City FAYETTEVILLE
State GA
ZIP 30269
Accounting period End 12
Primary contact name STEVEN YOTHMENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN YOTHMENT
PRESIDENT
210 WATERWOOD BND
PEACHTREE CITY GA 30269

Officer/Director/Trustee Two

WILLIAM LACKEY
VICE PRESIDENT
30 NEW MARKET CT
SENOIA GA 30276

Officer/Director/Trustee Three

ROBERT GIBLER
SECRETARY
309 WELTON WAY
PEACHTREE CITY GA 30269

Organization’s website HTTP://WWW.KK4GQ.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/04
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEVEN YOTHMENT
Signature Title PRESIDENT
Signature Date 7/23/18

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