FORM 1023-EZ for HAITI INTERNATIONAL FRIENDSHIP AMATEUR RADIO CLUB

Field Data
EIN 47-1875140
Case Number EO-2017107-000391
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITI INTERNATIONAL FRIENDSHIP AMATEUR RADIO CLUB
Organization’s Mailing Address PO BOX 73
City ELM
State PA
ZIP 17521-0073
Accounting period End 12
Primary contact name DALE LONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALE LONG
GENERAL SECRETARY
222 BRIAR HILL RD
LITITZ PA 17543-9568

Officer/Director/Trustee Two

PHIL THEIS
PRESIDENT
41 BLACK DIAMOND RD
EPHRATA PA 17522

Officer/Director/Trustee Three

CHRIS PATTERSON
VICE PRESIDENT
590 VALLEY ROAD
LANCASTER PA 17601

Officer/Director/Trustee Four

SAMUEL HARNER
TREASURER
893 NARVON ROAD
NARVON PA 17555

Organization’s website WWW.HAITI-INTERNATIONAL-FRIENDSHIP-ARC.ORG
Organization’s email HAITIFRIENDSHIP@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2014
Organization Incorporation State PA
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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