FORM 1023-EZ for WARRIORS WELLNESS AND RECOVERY RANCH INC

Field Data
EIN 84-4853498
Case Number EO-2020058-000145
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARRIORS WELLNESS AND RECOVERY RANCH INC
Organization’s Mailing Address 203 MUIRFIELD COURT
City DUBLIN
State GA
ZIP 31021
Accounting period End 9
Primary contact name MARLA ROCHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUSSELL JOHNSON
PRESIDENT
1205 W HWY 280
MILAN GA 31060

Officer/Director/Trustee Two

JOSE MORAN
VICE PRESIDENT
211 WARTHEN STREET
SANDERSVILLE GA 31082

Officer/Director/Trustee Three

HEATHER KING
SECRETARY
1205 W HIGHWAY 280
MILAN GA 31060

Officer/Director/Trustee Four

ERIC LOYD
TREASURER
127 TRINITY ROAD
DUBLIN GA 31021

Officer/Director/Trustee Five

STEPHEN SMITH
ADVISOR
2211 CLAXTON DAIRY ROAD
DUBLIN GA 31021

Organization’s website PENDING
Organization’s email MLROCHE@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RUSSELL JOHNSON
Signature Title PRESIDENT
Signature Date 2/25/2020

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