FORM 1023-EZ for CHIPOLA AMATEUR RADIO CLUB LLC

Field Data
EIN 86-2091787
Case Number EO-2021090-000043
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHIPOLA AMATEUR RADIO CLUB LLC
Organization’s Mailing Address PO BOX 6428
City MARIANNA
State FL
ZIP 32447
Accounting period End 12
Primary contact name BRIAN MCCLURE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN MCCLURE
PRESIDENT
2192 MILL RD
COTTONDALE FL 32431

Officer/Director/Trustee Two

KEVIN KIMBRO
VICE PRESIDENT
2547 DOGWOOD DR
COTTONDALE FL 32431

Officer/Director/Trustee Three

JEFF HAGAN
TREASURER
3814 HWY 90
MARIANNA FL 32446

Officer/Director/Trustee Four

CHERYL MCCLURE
SECRETARY
2192 MILL RD
COTTONDALE FL 32431

Organization’s website WWW.W4BKD.COM
Organization’s email CARC.W4BKD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 BRIAN MCCLURE
Signature Title PRESIDENT
Signature Date 2/16/2021

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