FORM 1023-EZ for PEDAL WITH WARRIORS INC

Field Data
EIN 81-1061892
Case Number EO-2016025-000121
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEDAL WITH WARRIORS INC
Organization’s Mailing Address 13708 E ASHLER HILLS DRIVE
City SCOTTSDALE
State AZ
ZIP 85262
Accounting period End 12
Primary contact name CAROLE M BURTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROLE BURTON
EXECUTIVE DIRECTOR
13708 E ASHLER HILLS DRIVE
SCOTTSDALE AZ 85262

Officer/Director/Trustee Two

PEGGY HUGHES
DIRECTOR
81466 N 5TH AVENUE
PHOENIX AZ 85023

Officer/Director/Trustee Three

SHEILA PHILLIPS
DIRECTOR
13708 E ASHLER HILLS DRIVE
SCOTTSDALE AZ 85262

Officer/Director/Trustee Four

NORMAN BIZON
DIRECTOR
8927 E FRIESS
SCOTTSDALE AZ 85260

Officer/Director/Trustee Five

SCOTT GIVENS
DIRECTOR
11206 N 36TH STREET
PHOENIX AZ 85028

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
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 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
Signature Title
Signature Date

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