FORM 1023-EZ for FORSYTH COUNTY WARRIORS

Field Data
EIN 85-1101269
Case Number EO-2020252-000547
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORSYTH COUNTY WARRIORS
Organization’s Mailing Address PO BOX 12105
City WINSTON SALEM
State NC
ZIP 27117-0204
Accounting period End 12
Primary contact name TANISHA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN DAVIS
PRESIDENT
PO BOX 12105
WINSTON SALEM NC 27117-0204

Officer/Director/Trustee Two

TANISHA WILLIAMS
VICE PRESIDENT
PO BOX 12105
WINSTON SALEM NC 27117-0204

Organization’s website HTTPS://CLUBS.BLUESOMBRERO.COM/KERNERSVILLEWARRIORSFC
Organization’s email FCWARRIORSNC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 TANISHA WILLIAMS
Signature Title VICE PRESIDENT
Signature Date 9/4/2020

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