FORM 1023-EZ for PRESTIGE EMPOWERMENT GROUP

Field Data
EIN 83-1357886
Case Number EO-2019190-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRESTIGE EMPOWERMENT GROUP
Organization’s Mailing Address 2006 PHILLIPS AVENUE
City GREENSBORO
State NC
ZIP 27405-5953
Accounting period End 12
Primary contact name TIMOTHY BLACKMON JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY BLACKMON JR
EXECUTIVE DIRECTOR
2402 BYWOOD ROAD
GREENSBORO NC 27405-5406

Officer/Director/Trustee Two

JACOB REIVES
BOARD OF DIRECTOR
13 COVINGTON PLACE
GREENSBORO NC 27407-7504

Officer/Director/Trustee Three

MARY MCALLISTER
BOARD OF DIRECTOR
1605 TUCKER STREET
GREENSBORO NC 27405-5765

Officer/Director/Trustee Four

TEVIN WHITESIDE
BOARD OF DIRECTOR
901 BURBANK STREET
GREENSBORO NC 27406-1929

Officer/Director/Trustee Five

MARCQUES TATUM
BOARD OF DIRECTOR
3309 RYDERWOOD DR
GREENSBORO NC 27407-6717

Organization’s website N/A
Organization’s email GENTSCOURT337@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 TIMOTHY BLACKMON JR
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/4/19

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