FORM 1023-EZ for BACKWOODS WARRIORS FOUNDATION

Field Data
EIN 82-0626037
Case Number EO-2017061-000342
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACKWOODS WARRIORS FOUNDATION
Organization’s Mailing Address 765 NORTHERN SPY DR
City LINDEN
State VA
ZIP 22642-6148
Accounting period End 12
Primary contact name BRYCE H MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYCE H MILLER
DIRECTOR
765 NORTHERN SPY DR
LINDEN VA 22642-6148

Officer/Director/Trustee Two

ASHTON DYE
DIRECTOR
25 HOLLY CORNER RD
FREDERICKSBURG VA 22406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 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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