FORM 1023-EZ for EMPOWER LEBANON INC

Field Data
EIN 85-0495558
Case Number EO-2020098-000058
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWER LEBANON INC
Organization’s Mailing Address 3900 JERMANTOWN RD SUITE 220
City FAIRFAX
State VA
ZIP 22030
Accounting period End 12
Primary contact name JOSEPH KHALIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH KHALIL
DIRECTOR
7540 RED HILL DR
SPRINGFIELD VA 22153

Officer/Director/Trustee Two

NADIM HADDAD
DIRECTOR
7310 ERWIN RD
CORAL GABLES FL 33143

Officer/Director/Trustee Three

JOELLE JACKSON
DIRECTOR
714 GRAY DAWN DR
ROCKLIN CA 95765

Officer/Director/Trustee Four

STEPHANIE JEBEYLI
DIRECTOR
2112 8TH ST NW APT 613
WASHINGTON DC 20001

Officer/Director/Trustee Five

ALINE VORN DICK
DIRECTOR
4205 OLD COLUMBIA
ANNANDALE VA 22003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JOSEPH KHALIL
Signature Title DIRECTOR
Signature Date 4/1/2020

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