FORM 1023-EZ for CARBON AMATEUR RADIO CLUB

Field Data
EIN 85-1836338
Case Number EO-2020245-000159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARBON AMATEUR RADIO CLUB
Organization’s Mailing Address 1264 EMERGENCY LANE
City NESQUEHONING
State PA
ZIP 18240-1802
Accounting period End 12
Primary contact name WALTER L DUSABLON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WALTER DUSABLON
SECRETARY
16 SPENCER LANE PO BOX 1794
ALBRIGHTSVILLE PA 18210-1794

Officer/Director/Trustee Two

KARL VERREN
PRESIDENT
175 BARBARA AVENUE
LEHIGHTON PA 18235

Officer/Director/Trustee Three

BRUCE FRITZ
TREASURER
1005 NORTH STREET
JIM THORPE PA 18229

Officer/Director/Trustee Four

DONNA KATTNER
VICE PRESIDENT
NUMBER 7 12TH AVENUE
NESQUEHONING PA 18240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/4/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 WALTER DUSABLON
Signature Title SECRETARY
Signature Date 8/30/2020

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