FORM 1023-EZ for AMERICAN WARRIOR HEALTH INITIATIVE

Field Data
EIN 47-4431865
Case Number EO-2015191-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN WARRIOR HEALTH INITIATIVE
Organization’s Mailing Address 921 CREEKDALE DR
City RICHARDSON
State TX
ZIP 75080
Accounting period End 12
Primary contact name JOHN LEYDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARCIA LEYDEN
PRESIDENT, DIRECTOR
921 CREEKDALE DR
RICHARDSON TX 75080

Officer/Director/Trustee Two

BRITTANY TIMMERMAN
SECRETARY, DIRECTOR
4206 CEDAR SPRINGS RD STE 1038
DALLAS TX 75219

Officer/Director/Trustee Three

JOHN LEYDEN
TREASURER, DIRECTOR
921 CREEKDALE DR
RICHARDSON TX 75080

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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