FORM 1023-EZ for EMPOWERHIM INC

Field Data
EIN 84-2616657
Case Number EO-2019247-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERHIM INC
Organization’s Mailing Address PO BOX 78653
City CHARLOTTE
State NC
ZIP 28271
Accounting period End 12
Primary contact name LINDA K STUBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA STUBBS
PRESIDENT
PO BOX 78653
CHARLOTTE NC 28271

Officer/Director/Trustee Two

KATRINA FLEMING
VOLUNTEER
PO BOX 78653
CHARLOTTE NC 28271

Officer/Director/Trustee Three

TRACY SUTHERLAND- MIDDLEBROOKS
VOLUNTEER
PO BOX 78653
CHARLOTTE NC 28271

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LINDA STUBBS
Signature Title PRESIDENT
Signature Date 9/2/19

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