FORM 1023-EZ for WATERBROOK LIFE EMPOWERMENT CENTER

Field Data
EIN 47-2102650
Case Number EO-2018057-000347
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WATERBROOK LIFE EMPOWERMENT CENTER
Organization’s Mailing Address 78 CASON OLD FIELD ROAD
City FAYETTEVILLE
State NC
ZIP 28314
Accounting period End 12
Primary contact name PAMELA SOWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUINTINA SCOTT
CHAIRMAN
2916 DWELLE DR
FAYETTEVILLE NC 28314

Officer/Director/Trustee Two

BRANDON SOWELL
TREASURER
4512 RHEMISH DR
FAYETTEVILLE NC 28314

Officer/Director/Trustee Three

DAVID JAMES
OFFICER
67 KNOTTY ELM LOOP
FAYETTEVILLE NC 28314

Officer/Director/Trustee Four

SELINA WASHINGTON
OFFICER
7850 PENELOPE DRIVE
FAYETTEVILLE NC 28306

Officer/Director/Trustee Five

PAMELA SOWELL
FOUNDER/ CEO
5908 LIVELY
FAYETTEVILLE NC 28314

Organization’s website
Organization’s email ESCALADEEMPOWER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/14
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 PAMELA SOWELL
Signature Title FOUNDER/ CEO
Signature Date 2/22/18

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