FORM 1023-EZ for EMPOWERED4LIFE MINISTRY INC

Field Data
EIN 84-3663568
Case Number EO-2020196-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERED4LIFE MINISTRY INC
Organization’s Mailing Address 1615 CLARK AVE
City CLEVELAND
State OH
ZIP 44109
Accounting period End 12
Primary contact name TANYA DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANYA DIXON
PRESIDENT/DIRECTOR
1615 CLARK AVE
CLEVELAND OH 44109

Officer/Director/Trustee Two

JENNIFER HUNT
TREASURER
1615 CLARK AVE
CLEVELAND OH 44109

Officer/Director/Trustee Three

DANYELLE GOGGANS
SECRETARY
1615 CLARK AVE
CLEVELAND OH 44109

Officer/Director/Trustee Four

COURTNEY BROWN
BOARD MEMBER
1615 CLARK AVE
CLEVELAND OH 44109

Officer/Director/Trustee Five

COMFORT MANSU
BOARD MEMBER
1615 CLARK AVE
CLEVELAND OH 44109

Organization’s website
Organization’s email INFO@LEARNINGFORLIFE-YO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 TANYA DIXON
Signature Title PRESIDENT/DIRECTOR
Signature Date 6/11/2020

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