FORM 1023-EZ for PURPLE WARRIOR FOUNDATION

Field Data
EIN 83-4130887
Case Number EO-2019087-000483
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PURPLE WARRIOR FOUNDATION
Organization’s Mailing Address PO BOX 10722
City BURKE
State VA
ZIP 22009
Accounting period End 12
Primary contact name ERNESTO HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERNESTO HERNANDEZ
DIRECTOR
PO BOX 10722
BURKE VA 22009

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERNESTO HERNANDEZ
Signature Title DIRECTOR
Signature Date 3/26/19

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