FORM 1023-EZ for EMPOWER FOUNDATION

Field Data
EIN 35-2677296
Case Number EO-2021168-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWER FOUNDATION
Organization’s Mailing Address 17404 VENTURA BLVD FL2
City ENCINO
State CA
ZIP 91316
Accounting period End 12
Primary contact name CHARLES LAING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLETTE NICHOLS
CFO
18614 HOLTON COURT
CANYON COUNTRY CA 91351

Officer/Director/Trustee Two

SCOTT GAUDUNEER
SECRETAERY
18614 HOLTON COURT
CANYON COUNTRY CA 91351

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 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 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 COLETTE NICHOLS
Signature Title CFO
Signature Date 6/15/2021

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