FORM 1023-EZ for EMPOWERED CDC

Field Data
EIN 84-5037676
Case Number EO-2020076-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERED CDC
Organization’s Mailing Address 6011 TRINITY STREET
City PHILADELPHIA
State PA
ZIP 19142
Accounting period End 12
Primary contact name MARSHA W WALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARSHA WALL
CHAIR
6011 TRINITY STREET
PHILADELPHIA PA 19142

Officer/Director/Trustee Two

BRICE BAKER
VICE-CHAIR
6011 TRINITY STREET
PHILADELPHIA PA 19142

Officer/Director/Trustee Three

VICTORIA CHAMBLISS
MEMBER
6011 TRINITY STREET
PHILADELPHIA PA 19142

Officer/Director/Trustee Four

KAREN SMALL
MEMBER
6011 TRINITY STREET
PHILADELPHIA PA 19142

Officer/Director/Trustee Five

VALERIE GAY
EX-OFFICIO MEMBER
6011 TRINITY STREET
PHILADELPHIA PA 19142

Organization’s website
Organization’s email EMPOWEREDCDC.MWWALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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 MARSHA WALL
Signature Title CHAIR
Signature Date 3/12/2020

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