FORM 1023-EZ for EMPOWER ZAMBIA

Field Data
EIN 36-4654768
Case Number EO-2019036-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWER ZAMBIA
Organization’s Mailing Address 4209 EMERSON AVE
City DALLAS
State TX
ZIP 75205-1069
Accounting period End 4
Primary contact name DANETTE LA COSTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANETTE LA COSTA
PRES / CHAIR / EXEC DIR / DIRECTOR
4209 EMERSON AVE
DALLAS TX 75205-1069

Officer/Director/Trustee Two

PAMELA KING
TREASURER / DIRECTOR
4124A UNIVERSITY BLVD
DALLAS TX 75205-1633

Officer/Director/Trustee Three

EVELYN COSTOLO
VICE PRESIDENT / DIRECTOR
3205 LOVERS LN
DALLAS TX 75225-7627

Officer/Director/Trustee Four

GREG NIEBERDING
DIRECTOR
10110 DARIA DR
DALLAS TX 75229-6626

Officer/Director/Trustee Five

ROCHELLE SHORE
DIRECTOR
5101 FOREST GROVE LN
PLANO TX 75093-7510

Organization’s website EMPOWERZAMBIA.ORG
Organization’s email DANETTE@EMPOWERZAMBIA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/09
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q32 - International Economic Development
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANETTE LA COSTA
Signature Title PRES / CHAIR / EXEC DIR / DIRECTOR
Signature Date 1/16/19

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