FORM 1023-EZ for PINK WARRIOR HOUSE FOUNDATION

Field Data
EIN 83-3269721
Case Number EO-2019128-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINK WARRIOR HOUSE FOUNDATION
Organization’s Mailing Address 1116 MARBLE AVE NW
City ALBUQUERQUE
State NM
ZIP 87102
Accounting period End 12
Primary contact name ALLISON HENDRICKS-SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLISON HENDRICKS-SMITH
PRESIDENT/FOUNDER
1116 MARBLE AVE NW
ALBUQUERQUE NM 87102

Officer/Director/Trustee Two

JAMIE SCHWEBACH
BOARD CHAIR
1006 11TH AVE NW
ALBUQUERQUE NM 87102

Officer/Director/Trustee Three

JEANY BAINES
DIRECTOR
9 SANDHILL ROAD
LOS LUNAS NM 87031

Officer/Director/Trustee Four

AMY LIOTTA
DIRECTOR
2107 DIETZ FARM ROAD NW
ALBUQUERQUE NM 87107

Officer/Director/Trustee Five

TIFFANY CANTU
DIRECTOR
2938 LAKEFIELD WAY
SUGAR LAND TX 77479

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/19
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 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 ALLISON HENDRICKS-SMITH
Signature Title PRESIDENT/FOUNDER
Signature Date 5/6/19

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