FORM 1023-EZ for WARRIORS PROSTHETIC INITIATIVE INC

Field Data
EIN 84-1986929
Case Number EO-2021207-000601
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARRIORS PROSTHETIC INITIATIVE INC
Organization’s Mailing Address 5114 BALCONES WOODS DR STE 307-193
City AUSTIN
State TX
ZIP 78759
Accounting period End 12
Primary contact name JOHN SCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SCHELL
DIRECTOR
5114 BALCONES WOODS DR STE 307-193
AUSTIN TX 78759

Officer/Director/Trustee Two

DATRELLE BLACK
DIRECTOR
5405 ENCINO OAK WAY
KILLEEN TX 75201

Officer/Director/Trustee Three

LEWIS HERD
DIRECTOR
154 CIRCLE DRIVE
DENISON TX 75201

Organization’s website WARRIORSPROSTHETICINITIATIVE.ORG
Organization’s email INFO@WARRIORSPROSTHETICINITIATIVE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 JOHN SCHELL
Signature Title DIRECTOR
Signature Date 7/24/2021

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