FORM 1023-EZ for EMPOWER MENTORING PROGRAM

Field Data
EIN 82-1469702
Case Number EO-2018045-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWER MENTORING PROGRAM
Organization’s Mailing Address 2109 ROCKWOOD COVE
City JONESBORO
State AR
ZIP 72401
Accounting period End 6
Primary contact name COLBY PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLBY PARKER
DIRECTOR
215 E CHERRY APT B
JONESBORO AR 72401

Officer/Director/Trustee Two

JONATHAN MARTIN
DIRECTOR
2109 ROCKWOOD COVE
JONESBORO AR 72404

Officer/Director/Trustee Three

DONALD HUNT
DIRECTOR
828 S CARAWAY APT 2B
JONESBORO AR 72401

Officer/Director/Trustee Four

ANITA MARSHALL
DIRECTOR
PO BOX 565
STATE UNIVERSITY AR 72401

Officer/Director/Trustee Five

JOHN MCFARLANE
DIRECTOR
109 ASBURY COVE
JONESBORO AR 72404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/17
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O31 - Big Brothers, Big Sisters
Organization’s purpose Charitable: Yes
Religious: Yes
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 COLBY PARKER
Signature Title DIRECTOR
Signature Date 2/12/18

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