FORM 1023-EZ for WATER FOR A WARRIOR

Field Data
EIN 47-4109782
Case Number EO-2015166-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WATER FOR A WARRIOR
Organization’s Mailing Address 1079 SUNRISE AVE STE B 224
City ROSEVILLE
State CA
ZIP 95661
Accounting period End 12
Primary contact name CLINT CRAMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER BISHOP
PRESIDENT
1401 HILLSIDE LANE
ROSEVILLE CA 95661

Officer/Director/Trustee Two

ERNIE WEIGUM
VICE PRESIDENT
1079 SUNRISE AVE STE B 224
ROSEVILLE CA 95661

Officer/Director/Trustee Three

KIRK JOHNSON
SECRETARY
1079 SUNRISE AVE STE B 224
ROSEVILLE CA 95661

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical 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 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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