FORM 1023-EZ for HELPING EMPOWERED LIVING PROGRAM

Field Data
EIN 87-1944999
Case Number EO-2021214-000635
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HELPING EMPOWERED LIVING PROGRAM
Organization’s Mailing Address 23247 CALLE DIAZ APT 293
City MORENO VALLEY
State CA
ZIP 92557
Accounting period End 12
Primary contact name KIMBERLY JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY JENKINS
FOUNDER
23247 CALLE DIAZ APT 293
MORENO VALLEY CA 92557

Officer/Director/Trustee Two

LEROY WOFFORD
DIRECTOR
3303 S ARCHIBALD 268
ONTARIO CA 91761

Officer/Director/Trustee Three

CARRIE MORRIS
DIRECTOR
26226 MOUNTAIN RANCH RD
MORENO VALLEY CA 92555

Officer/Director/Trustee Four

SYMONE HAWKINS
DIRECTOR
23247 CALLE DIAZ APT 293
MORENO VALLEY CA 92557

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 KIMBERLY JENKINS
Signature Title FOUNDER
Signature Date 7/30/2021

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