FORM 1023-EZ for RACHAEL WARRIOR FOUNDATION INC

Field Data
EIN 83-4488819
Case Number EO-2019120-000106
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RACHAEL WARRIOR FOUNDATION INC
Organization’s Mailing Address 57 ARROWOOD LANE
City ORCHARD PARK
State NY
ZIP 14127
Accounting period End 12
Primary contact name MARK WIERZBICKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY KOWAL
DIRECTOR COMMUNICATIONS
179 LOSSON ROAD
CHEEKTOWAGA NY 14127

Officer/Director/Trustee Two

LISA KOELLNER
CHAIRMAN OF THE BOARD
9 CYNTHIA CIRCLE
ORCHARD PARK NY 14127

Officer/Director/Trustee Three

VINCENNE LUCCI
SARGENT AT ARMS
6235 LAKE AVENUE
ORCHARD PARK NY 14127

Officer/Director/Trustee Four

RYAN WIERZBICKI
DIRECTOR FINANCE
57 ARROWOOD LANE
ORCHARD PARK NV 14127

Organization’s website
Organization’s email RACHAELWARRIORFOUNDATION@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA KOELLNER
Signature Title CHAIRMAN OF THE BOARD
Signature Date 4/28/19

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