FORM 1023-EZ for HEALTHCARE COMMUNITY AMATEUR RADIOCLUB

Field	Data
EIN	80-0699640
Case Number	EO-2019338-000156
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	HEALTHCARE COMMUNITY AMATEUR RADIOCLUB
Organization’s Mailing Address	2020 UNIVERSITY BOULEVARD
City	BIRMINGHAM
State	AL
ZIP	35294
Accounting period End	12
Primary contact name	EARL W STRADTMAN JR
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

J VANN MARTIN
PRESIDENT
2020 UNIVERSITY BOULEVARD
BIRMINGHAM AL 35294

Officer/Director/Trustee Two

THOMAS MANTHEI
VICE-PRESIDENT
2020 UNIVERSITY BOULEVARD
BIRMINGHAM AL 35294

Officer/Director/Trustee Three

JOHNNIE KNOBLOCH
SECRETARY-ACTING
2020 UNIVERSITY BOULEVARD
BIRMINGHAM AL 35294

Officer/Director/Trustee Four

EARL STRADTMAN
TREASURER
404 MEADOW BROOK LANE
MOUNTAIN BROOK AL 35213

Organization’s website	WWW.HCARC.ORG
Organization’s email
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	2/26/19
Organization Incorporation State	AL
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: 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	EARL STRADTMAN
Signature Title	TREASURER
Signature Date	12/1/19
EIN	80-0699640
Case Number	EO-2019338-000156
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	HEALTHCARE COMMUNITY AMATEUR RADIO CLUB
Organization’s Mailing Address	2020 UNIVERSITY BOULEVARD
City	BIRMINGHAM
State	AL
ZIP	35294
Accounting period End	12
Primary contact name	EARL W STRADTMAN JR
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00