FORM 1023-EZ for EMPOWERMUSE

Field Data
EIN 47-3432897
Case Number EO-2015106-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMPOWERMUSE
Organization’s Mailing Address 201 W KINGSTON AVE
City CHARLOTTE
State NC
ZIP 28203-4428
Accounting period End 12
Primary contact name ELIZABETH PALMISANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELIZABETH PALMISANO
PRESIDENT AND CHAIR OF BOARD
201 W KINGSTON AVE
CHARLOTTE NC 28203-4428

Officer/Director/Trustee Two

DAWN HALLMAN
VICE PRESIDENT
7626 BLACK HAWK LANE
FORT MILL SC 29708-8349

Officer/Director/Trustee Three

ESTHER DAVIDSON
TREASURER
3065 AVALON LAKE DR
MADISON AL 35756-4087

Officer/Director/Trustee Four

JESSICA HOUSTON
BOARD MEMBER
201 W KINGSTON AVE
CHARLOTTE NC 28203-4428

Officer/Director/Trustee Five

HANNAH LEHMAN
BOARD MEMBER
1301 SKYVIEW ROAD
CHARLOTTE NC 28208-6286

Organization’s website WWW.EMPOWERMUSE.ORG
Organization’s email ADMIN@EMPOWERMUSE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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