FORM 1023-EZ for WARRIOR SOCIETY MENTOR AND RITES OFPASSAGE PROGRAM

Field Data
EIN 46-3901809
Case Number EO-2017172-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARRIOR SOCIETY MENTOR AND RITES OFPASSAGE PROGRAM
Organization’s Mailing Address 13802 CREEKMILL COURT
City ROSHARON
State TX
ZIP 77583
Accounting period End 5
Primary contact name JASON BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON BROWN
EXECUTIVE DIRECTOR
13802 CREEKMILL COURT
ROSHARON TX 77583

Officer/Director/Trustee Two

JAMES BROWN
DIRECTOR
7902 CICADA CIRCLE
MISSOURI CITY TX 77549

Officer/Director/Trustee Three

KENNETH MOORE
DIRECTOR OF MARKETING
5214 JERICHO COURT
HOUSTON TX 77091

Officer/Director/Trustee Four

KIMBERLY MAYE
DIRECTOR OF DEVELOPMENT
12501 BROADWAY STREET APT 28107
PEARLAND TX 77584

Officer/Director/Trustee Five

LAWRENCE SCOTT
CHAPLAIN
3322 COSTWALD TRAIL
PEARLAND TX 77584

Organization’s website
Organization’s email JBROWN4142@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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