FORM 1023-EZ for AMERICAN WARRIOR RANCH

Field Data
EIN 46-5214149
Case Number EO-2014258-000540
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN WARRIOR RANCH
Organization’s Mailing Address STE 150 2607 KINGSTON PIKE
City KKNOXVILLE
State TN
ZIP 37919
Accounting period End 12
Primary contact name CAROLYN HEATHERLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROLYN HEATHERLY
CEO/PRESIDENT
132 PEACEFUL ORCHARD DR
HENDERSONVILLE NC 28792

Officer/Director/Trustee Two

RUSSELL POPE
COO/VICE PRESIDENT
9514 DIGGS GAP RD
HEISKELL TN 37754

Officer/Director/Trustee Three

KIMBERLY WIGGINS
SECTETARY
124 DOVETAIL DR
HENDERSONVILLE NC 28792

Officer/Director/Trustee Four

ROGER WILES
CHAIRMAN
2 ASCOT CIRCLE APT 304
ASHEVILLE NC 28803

Officer/Director/Trustee Five

JEFF WITT
VICE CHAIRMAN
401 TANGLE RIDGE RD
INMAN SC 23949

Organization’s website AMERICQNWARRIORRANCH.ORG
Organization’s email CAROLYNCEO@AMERICANWARRIORRANCH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2014
Organization Incorporation State TN
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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