FORM 1023-EZ for CLEARWATER AMATEUR RADIO SOCIETY INC

Field Data
EIN 26-2099008
Case Number EO-2019042-000444
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEARWATER AMATEUR RADIO SOCIETY INC
Organization’s Mailing Address PO BOX 4824
City CLEARWATER
State FL
ZIP 33758
Accounting period End 12
Primary contact name JEFF PALMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF PALMER
PRESIDENT
1143 IRENE AVE
LARGO FL 33771

Officer/Director/Trustee Two

DAVID SALYER
VICE PRESIDENT
1477 ADMIRAL WOODSON LN
CLEARWATER FL 33755

Officer/Director/Trustee Three

ALEXANDER SHIMP
SECRETARY
823 RENAISSANCE POINTE 305
ALAMONTE SPRINGS FL 32714

Organization’s website HTTP://WWW.CARSHAMRADIO.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/02
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
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 JEFF PALMER
Signature Title PRESIDENT
Signature Date 2/8/19

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