FORM 1023-EZ for WARRIORS FOR MULTIPLE SCLEROSIS INC

Field Data
EIN 84-2375021
Case Number EO-2019210-000382
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARRIORS FOR MULTIPLE SCLEROSIS INC
Organization’s Mailing Address 2171 S BROCKSMITH RD
City FORT PIERCE
State FL
ZIP 34945
Accounting period End 12
Primary contact name DAWN FURGASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN FURGASON
PRESIDENT, DIRECTOR
2171 S BROCKSMITH RD
FORT PIERCE FL 34945

Officer/Director/Trustee Two

MELISSA GIARRATANO
SECRETARY, DIRECTOR
1571 SE COPLY ST
PORT SAINT LUCIE FL 34983

Officer/Director/Trustee Three

DOROTHY DUVE
TREASURER, DIRECTOR
1862 SE ELKHART TERR
PORT SAINT LUCIE FL 34952

Officer/Director/Trustee Four

ANDELE ANSOLA-LAWRENCE
VICE PRESIDENT, DIRECTOR
465 SW ASTER RD
PORT SAINT LUCIE FL 34953

Officer/Director/Trustee Five

CHRISTINE RIGG
DIRECTOR
542 SW MCCOMB AVE
PORT SAINT LUCIE FL 34953

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/19
Organization Incorporation State FL
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: Yes
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 DAWN FURGASON
Signature Title PRESIDENT, DIRECTOR
Signature Date 7/26/19

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