FORM 1023-EZ for 3 2 1 EMPOWER INC

Field Data
EIN 82-5497935
Case Number EO-2018199-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 3 2 1 EMPOWER INC
Organization’s Mailing Address 23781 US HWY 27 SUITE 212
City LAKE WALES
State FL
ZIP 33859
Accounting period End 12
Primary contact name RAMONA BRAGANZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAMONA BRAGANZA
PRESIDENT
23781 US HWY 27 SUITE 212
LAKE WALES FL 33859

Officer/Director/Trustee Two

CATHLEEN DEWITT
VICE PRESIDENT
613 LAKE STREET
HUNTINGTON BEACH CA 92647

Officer/Director/Trustee Three

CHIE SMITH
TREASURER
2717 MILLWOOD DRIVE
RICHARDSON TX 75082

Officer/Director/Trustee Four

JANELLE KENNY
SECRETARY
1722 SHADY POINT DRIVE
VERONA WI 53593

Officer/Director/Trustee Five

DENISE VILLANUEVA
DIRECTOR
10 ANDORRA
LAGUNA NIGEL CA 92677

Organization’s website WWW.321EMPOWER.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 Yes
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 RAMONA BRAGANZA
Signature Title PRESIDENT
Signature Date 7/14/18

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