FORM 1023-EZ for IMPOWER YOUTH

Field Data
EIN 83-1211813
Case Number EO-2018199-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPOWER YOUTH
Organization’s Mailing Address 340 S CLOVERDALE AVENUE APT 303
City LOS ANGELES
State CA
ZIP 90036-3498
Accounting period End 6
Primary contact name MICHAEL HABASHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HABASHI
CEO, FOUNDER
340 S CLOVERDALE AVENUE APT 303
LOS ANGELES CA 90036-3498

Officer/Director/Trustee Two

NAOMI DOMKAM
TREASURER
6567 FOREST LAWN DRIVE
LOS ANGELES CA 90068

Officer/Director/Trustee Three

MARIANNE TADROS
SECRETARY
12006 QUIET WATER COURT
HOUSTON TX 77065-3933

Organization’s website WWW.IMPOWERYOUTH.ORG
Organization’s email IMPOWERYOUTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 Yes
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 MICHAEL HABASHI
Signature Title CEO, FOUNDER
Signature Date 7/16/18

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