FORM 1023-EZ for ISLAND WARRIORS INC

Field Data
EIN 84-4615348
Case Number EO-2020203-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISLAND WARRIORS INC
Organization’s Mailing Address 11011 PLEASANT COLONY DR APT 2907
City HOUSTON
State TX
ZIP 77065
Accounting period End 12
Primary contact name ARTHUR BUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARTHUR BUSH
PRESIDENT
11011 PLEASANT COLONY DR 2097
HOUSTON TX 77065

Officer/Director/Trustee Two

ANDREW FARRER
CFO
813 YAQIMA WAY
MURFREEBORO TN 37130

Officer/Director/Trustee Three

ANNIE BUSH
DIRECTOR
11011 PLEASANT COLONY DR 2097
HOUSTON TX 77065

Officer/Director/Trustee Four

ANDREA SPRIGGS
DIRECTOR
12110 BRWOSMAN DR
TOMBALL TX 77377

Officer/Director/Trustee Five

KATRINA FARRER
DIRECTOR
813 YAQIMA WAY
MURFREEBORO TN 37130

Organization’s website
Organization’s email ISLANDWARRIOS2019@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ARTHUR BUSH
Signature Title PRESIDENT
Signature Date 7/16/2020

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