FORM 1023-EZ for WARRIORS DEN

Field Data
EIN 81-2678669
Case Number EO-2016144-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARRIORS DEN
Organization’s Mailing Address 1910 E 72ND AVE APT 2
City ANCHORAGE
State AK
ZIP 99507
Accounting period End 12
Primary contact name JASON COOMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAMERON JENSEN
OFFICER
167 PARK AVE
WASILLA AK 99654

Officer/Director/Trustee Two

AARRON KNOWLES
VICE PRESIDENT
7345 WATERFALL DR
EAGLE RIVER AK 99577

Officer/Director/Trustee Three

MACEO GARCIA
ASSISTANT DIRECTOR
1910 E 72ND AVE APT 2
ANCHORAGE AK 99507

Officer/Director/Trustee Four

MADIE TAYLOR
SECRETARY
104 E FIREWEED LN
ANCHORAGE AK 99503

Officer/Director/Trustee Five

JASON COOMES
DIRECTOR
104 E FIREWEED LN
ANCHORAGE AK 99503

Organization’s website
Organization’s email WARRIORSDEN234@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2016
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L02 - Management & Technical Assistance
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
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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