FORM 1023-EZ for SOURIS VALLEY AMATEUR RADIO CLUB
| Field | Data |
|---|---|
| EIN | 45-0460058 |
| Case Number | EO-2019301-000813 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SOURIS VALLEY AMATEUR RADIO CLUB |
| Organization’s Mailing Address | PO BOX 1144 |
| City | MINOT |
| State | ND |
| ZIP | 58702-1144 |
| Accounting period End | 12 |
| Primary contact name | KIRK BORUD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAVID HEINTZLEMAN
PRESIDENT
228 AKIN ST
NEWBURG ND 58762-4016
Officer/Director/Trustee Two
DANIEL ROBERTS
VICE PRESIDENT
5120 51ST AVE SE
MINOT ND 58701-2221
Officer/Director/Trustee Three
LYNN NELSON
SECRETARY
3204 WILLOW LANE SE
MINOT ND 58701-7148
Officer/Director/Trustee Four
KIRK BORUD
TREASURER
1531 6TH ST SW
MINOT ND 58701-5871
Officer/Director/Trustee Five
GERALD CUSHING
TRUSTEE
817 15 1/2 AVE SW
MINOT ND 58701-5735
| Organization’s website | K0AJW.COM |
|---|---|
| Organization’s email | K0AJW@SRT.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/27/91 |
| Organization Incorporation State | ND |
| 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: 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 | DAVID HEINTZLEMAN |
| Signature Title | PRESIDENT |
| Signature Date | 10/26/19 |
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