FORM 1023-EZ for HEALTH AND EMPOWERMENT FOUNDATION INC

Field Data
EIN 84-3460055
Case Number EO-2019322-000543
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH AND EMPOWERMENT FOUNDATION INC
Organization’s Mailing Address 605 CEREMONY WAY
City ACWORTH
State GA
ZIP 30102
Accounting period End 6
Primary contact name JOAN OHAWA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOAN OHAWA
PRESIDENT
605 CEREMONY WAY
ACWORTH GA 30102

Officer/Director/Trustee Two

PATRICK OLWANA
VICE PRESIDENT
605 CEREMONY WAY
ACWORTH GA 30102

Officer/Director/Trustee Three

LAIKA OLWANA
OFFICER
605 CEREMONY WAY
ACWORTH GA 30102

Officer/Director/Trustee Four

KANI OLWANA
OFFICER
605 CEREMONY WAY
ACWORTH GA 30102

Officer/Director/Trustee Five

PETER OSOGO
OFFICER
605 CEREMONY WAY
ACWORTH GA 30102

Organization’s website
Organization’s email HEALTHEMPOWER20@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 JOAN OHAWA
Signature Title PRESIDENT
Signature Date 11/15/19

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