FORM 1023-EZ for COMBAT WARRIOR RELIEF FOUNDATION

Field Data
EIN 84-3638763
Case Number EO-2019326-000315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMBAT WARRIOR RELIEF FOUNDATION
Organization’s Mailing Address 322 CHRISTINA LN
City POPLAR BLUFF
State MO
ZIP 63901-8854
Accounting period End 11
Primary contact name SHANNON GRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON GRANT
PRESIDENT
322 CHRISTINA LANE
POPLAR BLUFF MO 63901

Officer/Director/Trustee Two

NICOLE DEL CASTILLO
SECRETARY
322 CHRISTINA LANE
POPLAR BLUFF MO 63901

Officer/Director/Trustee Three

TERESA LEON
DIRECTOR
750 EAST STILLWATER AVE -151
FALLON NV 89406

Officer/Director/Trustee Four

MELISSA DEL CASTILLO
DIRECTOR
720 HUDSON STREET
MARION KS 66861

Officer/Director/Trustee Five

MATTHEW GRANT
DIRECTOR
750 EAST STILLWATER AVE 151
FALLON NV 89406

Organization’s website
Organization’s email COMBATWARRIORRELIEFFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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 SHANNON GRANT
Signature Title PRESIDENT
Signature Date 11/20/19

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