FORM 1023-EZ for EMPOWERMENT NATION FOUNDATION

Field Data
EIN 86-2878157
Case Number EO-2021119-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERMENT NATION FOUNDATION
Organization’s Mailing Address 9605 KEELER AVE
City SKOKIE
State IL
ZIP 60076
Accounting period End 12
Primary contact name RANI YOUSEFZAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANI YOUSEFZAI
DIRECTOR
9514 KEDVALE
SKOKIE IL 60076-1425

Officer/Director/Trustee Two

LUCIA MEMI
OFFICER
3770 GREENLEAF LANE
NORTHBROOK IL 60062-6216

Officer/Director/Trustee Three

DULCE CASTILLO
OFFICER
520 EAST MAIN STREET
BARRINGTON IL 60010-3394

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RANI YOUSEFZAI
Signature Title DIRECTOR
Signature Date 4/27/2021

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