FORM 1023-EZ for WARRIOR CEMETERY ORGANIZATION

Field Data
EIN 47-2052742
Case Number EO-2014310-000552
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARRIOR CEMETERY ORGANIZATION
Organization’s Mailing Address PO BOX 1072
City CHECOTAH
State OK
ZIP 74426
Accounting period End 12
Primary contact name JERIMIAH WARRIOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERIMIAH WARRIOR
PRESIDENT
PO BOX 1072
CHECOTAH OK 74426

Officer/Director/Trustee Two

ELETHA BURKHALTER
TREASURER
HC 60 BOX 1110
CHECOTAH OK 74426

Officer/Director/Trustee Three

CHARLOTTE LEE
SECRETARY
HC 60 BOX 1804
CHECOTAH OK 74426

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2014
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial 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
Signature Title
Signature Date

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