FORM 1023-EZ for EMPOWERMENT LIFE CENTER

Field Data
EIN 85-0954795
Case Number EO-2020132-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERMENT LIFE CENTER
Organization’s Mailing Address 3649 CLAY AVE
City ST LOUIS
State MO
ZIP 63115
Accounting period End 12
Primary contact name WILFERT LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILFERT LEE
CEO
270 N EUCLID AVE
ST LOUIS MO 63113

Officer/Director/Trustee Two

SHUVEZ WILLIAMS
PRESIDENT
3533 ADIE RD
ST ANN MO 63074

Officer/Director/Trustee Three

DE ANDRE RUSH SR
VICE PRESIDENT
3769 HIGH DR
ST ANN MO 63074

Officer/Director/Trustee Four

SYDRIAN COATES
SECRETARY
3769 HIGH DR
ST ANN MO 63074

Officer/Director/Trustee Five

LATOYA ALLEN
BOARD MEMBER
2730 N EUCLID AVE
ST LOUIS MO 63113

Organization’s website
Organization’s email DRWILFERTLEE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: Yes
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 WILFERT LEE
Signature Title CEO
Signature Date 5/7/2020

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