FORM 1023-EZ for SAN DIEGO SIX SHOOTERS AMATEUR RADIO CLUB

Field Data
EIN 20-3835662
Case Number EO-2016274-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAN DIEGO SIX SHOOTERS AMATEUR RADIO CLUB
Organization’s Mailing Address 4225 EXECUTIVE SQUARE SUITE 600
City LA JOLLA
State CA
ZIP 92037
Accounting period End 12
Primary contact name RANDALL HAMUD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUCE KRIPTON
PRESIDENT
4225 EXECUTIVE SQUARE SUITE 600
LA JOLLA CA 92037

Officer/Director/Trustee Two

JOE ACEVEDO
VICE PRESIDENT
4225 EXECUTIVE SQUARE SUITE 600
LA JOLLA CA 92037

Officer/Director/Trustee Three

BRUCE ROSENBLATT
TREASURER
4225 EXECUTIVE SQUARE SUITE 600
LA JOLLA CA 92037

Officer/Director/Trustee Four

RANDALL HAMUD
SECRETARY
4225 EXECUTIVE SQUARE SUITE 600
LA JOLLA CA 92037

Organization’s website SDSIXSHOOTERS.ORG
Organization’s email SDSIXSHOOTERS@MAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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