FORM 1023-EZ for AORTIC WARRIORS INC

Field Data
EIN 47-3577981
Case Number EO-2015181-000101
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AORTIC WARRIORS INC
Organization’s Mailing Address 441 E CARSON STREET SUITE J
City CARSON
State CA
ZIP 90745
Accounting period End 12
Primary contact name PETER TSAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETER TSAI
PRESIDENT/TREASURER
441 E CARSON STREET SUITE J
CARSON CA 90745

Officer/Director/Trustee Two

CONNSTANCE RODRIQUEZ
VICE PRESIDENT
1525 8TH STREET
ALAMEDA CA 94501

Officer/Director/Trustee Three

MICHELLE GROFF
SECRETARY
219 DOUGLAS STREET
BRISTOL VA 24201

Officer/Director/Trustee Four

JANET BETTS
MEMBER AT LARGE
10711 E TRENT
SPOKANE VALLEY WA 99206

Officer/Director/Trustee Five

JUDITH HUGHES
MEMBER AT LARGE
8283 SADDLE TRAIL NW
BREMERTON WA 98311-9120

Organization’s website AORTICWARRIORS.COM
Organization’s email AORTICWARRIORS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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