FORM 1023-EZ for EMPOWER WISH FOUNDATION INC

Field Data
EIN 86-3118738
Case Number EO-2021152-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWER WISH FOUNDATION INC
Organization’s Mailing Address 114 S MAIN STREET
City MEDFORD
State NJ
ZIP 08055
Accounting period End 12
Primary contact name TIMOTHY MEISE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY MEISE
PRESIDENT & DIRECTOR
150 W CENTENNIAL
MEDFORD NJ 08055

Officer/Director/Trustee Two

NICHOLAS MACNEIL
TREAS & CO-FOUNDER & DIR
112 S MAIN STREET
MEDFORD NJ 08055

Officer/Director/Trustee Three

ERIC BELL
SECRETARY & DIRECTOR
114 S MAIN STREET
MEDFORD NJ 08055

Officer/Director/Trustee Four

RYAN KORCHECK
DIRECTOR & COO
114 S MAIN STREET
MEDFORD NJ 08055

Officer/Director/Trustee Five

DUSTIN JOHNSON
DIRECTOR & CFO
300 CABBAGE INLET LANE
WILMINGTON NC 28409

Organization’s website
Organization’s email NICNAC980@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 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 TIMOTHY MEISE
Signature Title PRESIDENT & DIRECTOR
Signature Date 5/27/2021

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