FORM 1023-EZ for WARRIORS DEN

Field Data
EIN 84-3460043
Case Number EO-2019298-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARRIORS DEN
Organization’s Mailing Address 329 COUNTY ROAD 5351
City POPLAR BLUFF
State MO
ZIP 63901-9499
Accounting period End 12
Primary contact name ANTHONY CURNUTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY CURNUTT
PRESIDENT
329 COUNTY ROAD 5351
POPLAR BLUFF MO 63901-9499

Officer/Director/Trustee Two

SHAWN STRICKLAND
SECRETARY
2374 TOWNSHIP LANE RD
POPLAR BLUFF MO 63901-9053

Officer/Director/Trustee Three

DAN KING
TREASURER
813 MARY ST
POPLAR BLUFF MO 63901-2909

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F50 - Addictive Disorders N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 ANTHONY CURNUTT
Signature Title PRESIDENT
Signature Date 10/23/19

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