FORM 1023-EZ for CROSS KEYS VILLAGE AMATEUR RADIO CLUB -CKVARC-

Field Data
EIN 83-4626208
Case Number EO-2019190-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSS KEYS VILLAGE AMATEUR RADIO CLUB -CKVARC-
Organization’s Mailing Address 11 FULTON DRIVE
City NEW OXFORD
State PA
ZIP 17350-7323
Accounting period End 12
Primary contact name RICHARD E HARLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY L SCHUCHART
PRESIDENT
7528 RUTH FARM LANE
THOMASVILLE PA 17364

Officer/Director/Trustee Two

DONALD C SCHMITT
VICE-PRESIDENT
835 BRIDGEWATER DRIVE
NEW OXFORD PA 17350

Officer/Director/Trustee Three

SUSAN J HARLEY
SECRETARY/TREASURER
11 FULTON DR
NEW OXFORD PA 17350-7323

Officer/Director/Trustee Four

DIANE B GLOTFELTY
ASST-SECRETARY/TREASURER
845 BRIDGEWATER DRIVE
NEW OXFORD PA 17350

Officer/Director/Trustee Five

RICHARD E HARLEY
TRUSTEE
11 FULTON DRIVE
NEW OXFORD PA 17350-7323

Organization’s website
Organization’s email REHARLEY16@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/14
Organization Incorporation State PA
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: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 RICHARD E HARLEY
Signature Title TRUSTEE
Signature Date 7/5/19

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