FORM 1023-EZ for WITHERS FOR WARRIORS FOUNDATION

Field Data
EIN 82-2801811
Case Number EO-2018051-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WITHERS FOR WARRIORS FOUNDATION
Organization’s Mailing Address 8020 S RAINBOW BLVD 100-153
City LAS VEGAS
State NV
ZIP 89139
Accounting period End 12
Primary contact name RON JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RON JONES
OFFICER
8020 S RAINBOW BLVD
LAS VEGAS NV 89139

Officer/Director/Trustee Two

JESSIE KUNTZ
OFFICER
8020 S RAINBOW BLVD
LAS VEGAS NV 89139

Organization’s website HTTPS://WITHERSFORWARRIORS.COM
Organization’s email RONJONES@WITHERSFORWARRIORS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/17
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RON JONES
Signature Title OFFICER
Signature Date 2/17/18

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