FORM 1023-EZ for TOMPKINS COUNTY AMATEUR RADIO ASSOCIATION

Field Data
EIN 47-2347049
Case Number EO-2016286-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOMPKINS COUNTY AMATEUR RADIO ASSOCIATION
Organization’s Mailing Address PO BOX 4372 757 WARREN ROAD
City ITHACA
State NY
ZIP 14850
Accounting period End 12
Primary contact name DOUGLAS BULLIVANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS BULLIVANT
PRESIDENT
2795 COUNTY ROAD 143
INTERLAKEN NY 14847

Officer/Director/Trustee Two

JEFFREY NADEL
VICE PRESIDENT
1 YARDLRY GREEN
ITHACA NY 14850

Officer/Director/Trustee Three

JANIS CARSON
SECRETARY
61 ROTHERMICH ROAD
ITHACA NY 14850

Officer/Director/Trustee Four

JOSEPH ZAWISLAK
TREASURER
155 COX ROAD
NEWFIELD NY 14867

Organization’s website HTTP://TCARA-NY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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
Signature Title
Signature Date

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