FORM 1023-EZ for GLOBAL LIFE EMPOWERMENT

Field Data
EIN 85-4290036
Case Number EO-2021062-001403
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLOBAL LIFE EMPOWERMENT
Organization’s Mailing Address 5646 STONEHAVEN DR
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 12
Primary contact name PAULA A BROUGHTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM BROUGHTON
PRESIDENT
5646 STONEHAVEN DRIVE
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

DERWIN DAVIS
TREASURER
411 CABRIOET COURT
MCDONOUGH GA 30253

Officer/Director/Trustee Three

VALENCIA GOOGER
SECRETARY
1456 CAMELIA STREET
RIVERDALE GA 30296

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 Yes
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 WILLIAM BROUGHTON
Signature Title PRESIDENT
Signature Date 1/4/2021

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