FORM 1023-EZ for PAGE VALLEY AMATEUR RADIO CLUB

Field Data
EIN 27-4661486
Case Number EO-2015111-000011
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAGE VALLEY AMATEUR RADIO CLUB
Organization’s Mailing Address 432 MOUNTAIN VIEW ROAD
City STANLEY
State VA
ZIP 22851
Accounting period End 12
Primary contact name CAROL TERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY RAMEY
PRESIDENT
23 WALLACE AVE
LURAY VA 22835

Officer/Director/Trustee Two

PAUL OSULLIVAN
TREASURER
275 FLOYD AVE
SHENANDOAH VA 22846

Officer/Director/Trustee Three

GERALD FISCHER
BOARD MEMBER
196 WHITE PINES ROAD
LURAY VA 22835

Officer/Director/Trustee Four

ZORY GLASER
BOARD MEMBER
12708 WEISS STREET
ROCKVILLE MD 20853

Officer/Director/Trustee Five

MORGAN S PHENIX
VICE PRES REGISTERED AGENT
432 MOUNTAIN VIEW ROAD
STANLEY VA 22851

Organization’s website
Organization’s email PVARC@K4PDF.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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