FORM 1023-EZ for EMPOWERED MEN BUILT TO WIN

Field Data
EIN 83-2543258
Case Number EO-2019161-000387
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERED MEN BUILT TO WIN
Organization’s Mailing Address 1700 WHIRLAWAY LN
City TRACY
State CA
ZIP 95377
Accounting period End 12
Primary contact name HENRY TOWNSEND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRY TOWNSEND
FOUNDER AND EXECUTIVE DIRECTOR
1700
TRACY CA 95377

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 HENRY TOWNSEND
Signature Title FOUNDER AND EXECUTIVE DIRECTOR
Signature Date 6/6/19

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