FORM 1023-EZ for WARRIOR SPORTS CLUB

Field Data
EIN 83-1351381
Case Number EO-2018247-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARRIOR SPORTS CLUB
Organization’s Mailing Address 33 STONY BROOK DRIVE
City SOUTH PARIS
State ME
ZIP 4281
Accounting period End 12
Primary contact name SHANE WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANE WILSON
DIRECTOR / PRESIDENT
33 STONY BROOK DR
SOUTH PARIS ME 4281

Officer/Director/Trustee Two

JASON RICHARDS
DIRECTOR
10 HIDDEN FALLS LANE
WEST PARIS ME 4289

Officer/Director/Trustee Three

SHERRILYN PAGE
SECRETARY
20 UPPER SWALLOW RD
SOUTH PARIS ME 4281

Officer/Director/Trustee Four

DANIEL HANSON
DIRECTOR
96 BRETT HILL RD
SOUTH PARIS ME 4281

Officer/Director/Trustee Five

SARAH WILSON
TREASURER
33 STONY BROOK DR
SOUTH PARIS ME 4281

Organization’s website WARRIORSPORTSCLUB.ORG
Organization’s email INFO@WARRIORSPORTSCLUB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/18
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 SHANE WILSON
Signature Title DIRECTOR / PRESIDENT
Signature Date 9/2/18

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