FORM 1023-EZ for WARRIORS ELEVATED

Field Data
EIN 35-2593744
Case Number EO-2017180-000317
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARRIORS ELEVATED
Organization’s Mailing Address 6086 SPRING ST
City STANSBURY PARK
State UT
ZIP 84074
Accounting period End 12
Primary contact name JAYSON COLLIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID GREEN
TRUSTEE
218 STARBOARD LANE
STANSBURY PARK UT 84074

Officer/Director/Trustee Two

KEITH ELLIS
TRUSTEE
218 STARBOARD LANE
EAGLE MOUNTAIN UT 84005

Officer/Director/Trustee Three

JAYSON COLLIER
DIRECTOR
6086 SPRING ST
STANSBURY PARK UT 84074

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2017
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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
Signature Title
Signature Date

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