FORM 1023-EZ for EMPOWERING CHANGE FOUNDATION

Field Data
EIN 85-4008309
Case Number EO-2021064-000853
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERING CHANGE FOUNDATION
Organization’s Mailing Address 3670 LINDSY BROOKE CT
City DOUGLASVILLE
State GA
ZIP 30135
Accounting period End 11
Primary contact name SHEENA NORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEENA NORRIS
PRESIDENT
3670 LINDSY BROOKE CT
DOUGLASVILLE GA 30135

Officer/Director/Trustee Two

JANAE PIERCE
VICE PRESIDENT
3450 BRECKINRIDGE BLVD
DULUTH GA 30096

Officer/Director/Trustee Three

SOPHIA FITZPATRICK
PROJECT COORDINATOR
20 WESLYN PARK DRIVE
SAVANNAH GA 31419

Officer/Director/Trustee Four

KATHRYN BELL
COMMUNITY RELATIONS MANAGER
9722 FALLVIEW COURT
VILLA RICA GA 30180

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANAE PIERCE
Signature Title VICE PRESIDENT
Signature Date 1/6/2021

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