FORM 1023-EZ for SOUTH PORTLAND AMATEUR RADIO CLUB

Field Data
EIN 82-2018586
Case Number EO-2017201-000075
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH PORTLAND AMATEUR RADIO CLUB
Organization’s Mailing Address 7538 SW ROANOKE DR
City WILSONVILLE
State OR
ZIP 97070-6801
Accounting period End 12
Primary contact name DAVID HOSHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID HOSHAW
PRESIDENT
7538 SW ROANOKE DR
WILSONVILLE OR 97070-6801

Officer/Director/Trustee Two

RUSSELL MICKIEWICZ
TREASURER
PO BOX 25051
PORTLAND OR 97298-0051

Officer/Director/Trustee Three

JEFFREY PHILLIPS
VICE PRESIDENT
5706 SE LAFAYETTE ST
PORTLAND OR 97206-2846

Officer/Director/Trustee Four

JONATHAN BEZAYIFF
BOARD MEMBER
8723 SE 40TH AVE
MILWAUKIE OR 97222-5579

Officer/Director/Trustee Five

SHANE DYER
BOARD MEMBER
17446 S ALGERNON ROAD
OREGON CITY OR 97045-8802

Organization’s website HTTP://SOUTHPORTLAND-ARC.COM
Organization’s email ADMIN@SOUTHPORTLAND-ARC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 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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