FORM 1023-EZ for WARRIOR BROTHERS INC

Field Data
EIN 81-3913164
Case Number EO-2016267-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARRIOR BROTHERS INC
Organization’s Mailing Address 200 W BOUNDARY RD
City LONE WOLF
State OK
ZIP 73655
Accounting period End 12
Primary contact name SCOTT DEVORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY JARVIS
PRESIDENT
400 NORTH BROADWAY
HOBART OK 73651

Officer/Director/Trustee Two

JAMES AMBROSE
VICE PRESIDENT
20527 EAST 1390 COUNTY ROAD
LONE WOLF OK 73655

Officer/Director/Trustee Three

SCOTT DEVORE
SECRETARY
PO BOX 186
LONE WOLF OK 73655

Officer/Director/Trustee Four

JOSHUA JARVIS
TREASURER
200 WEST BOUNDARY RD
LONE WOLF OK 73655

Officer/Director/Trustee Five

HUNTER SPEARS
SENTINEL
PO BOX 4
LONE WOLF OK 73655

Organization’s website
Organization’s email WARRIORBROTHERS16@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 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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