FORM 1023-EZ for LAKESIDE AMATEUR RADIO CLUB

Field Data
EIN 90-0631628
Case Number EO-2019150-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKESIDE AMATEUR RADIO CLUB
Organization’s Mailing Address PO BOX 984
City LAKESIDE
State CA
ZIP 92040
Accounting period End 4
Primary contact name PAUL O RIOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL RIOS
CHAIR
12207 VALHALLA DRIVE
LAKESIDE CA 92040

Officer/Director/Trustee Two

MIKE MASTION
1ST VICE CHAIR
3982 KANSAS STREET
SAN DIEGO CA 92104

Officer/Director/Trustee Three

SCOTT SCHMUTZLER
2ND VICE CHAIR
12622 WILD CAT CANYON ROAD
LAKEISDE CA 92040

Officer/Director/Trustee Four

ANN RIOS
SECRETARY
12207 VALHALLA DRIVE
LAKESIDE CA 92040

Officer/Director/Trustee Five

GORDON SHACKELFORD
TREASURE
9716 RED PONY LANE
EL CAJON CA 92021

Organization’s website WWW.LAKESIDEARC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAUL RIOS
Signature Title CHAIR
Signature Date 5/28/19

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