FORM 1023-EZ for L5 EMPOWERMENT

Field Data
EIN 85-3912398
Case Number EO-2021165-000468
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name L5 EMPOWERMENT
Organization’s Mailing Address 2221 S ONEIDA ST
City SALT LAKE CITY
State UT
ZIP 84109
Accounting period End 12
Primary contact name CHRISTOPHER N NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL LIMBURG
PRESIDENT DIRECTOR
2221 ONEIDA STREET
SALT LAKE CITY UT 84109

Officer/Director/Trustee Two

SUZANNE LIMBURG
TREASURER DIRECTOR
366 HILLSIDE DRIVE
MURRAY UT 84107

Officer/Director/Trustee Three

JENNIFER ALLEN
DIRECTOR
9192 SHAD LANE
SANDY UT 84093

Officer/Director/Trustee Four

STEPHANIE BEVARD
DIRECTOR
3819 GRAND VALLEY DRIVE
SPRINGDALE AR 72764

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2021
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 PAUL LIMBURG
Signature Title PRESIDENT DIRECTOR
Signature Date 6/11/2021

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