FORM 1023-EZ for KOOTENAI AMATEUR RADIO SOCIETY

Field Data
EIN 82-0351225
Case Number EO-2015257-000455
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KOOTENAI AMATEUR RADIO SOCIETY
Organization’s Mailing Address PO BOX 1765
City HAYDEN
State ID
ZIP 83835-1765
Accounting period End 12
Primary contact name RODERICK A ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVE BOSS
PRESIDENT
25518 N HESTER RD
ATHOL ID 83801

Officer/Director/Trustee Two

ALLEN CAMPBELL
VICE PRESIDENT
1803 N IDAHO ST
POST FALLS ID 83854

Officer/Director/Trustee Three

ADAM CRIPPEN
SECRETARY
453 N BRUSHWOOD
POST FALLS ID 83854

Officer/Director/Trustee Four

RODERICK ANDERSON
TREASURER
2110 W HONEYSUCKLE AVE
HAYDEN ID 83835

Officer/Director/Trustee Five

LENNY GEMAR
EXECUTIVE DIRECTOR
6009 W HIGHLAND DR
COEUR D'ALENE ID 83814

Organization’s website WWW.K7ID.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2013
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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