FORM 1023-EZ for SENIOR EMPOWERMENT LLC

Field Data
EIN 82-1079872
Case Number EO-2017103-000414
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SENIOR EMPOWERMENT LLC
Organization’s Mailing Address 2 OFFICE PARK COURT SUITE 202
City COLUMBIA
State SC
ZIP 29223
Accounting period End 12
Primary contact name SHERRY FEGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERRY FEGGINS
CEO
9612 POTTERS HILL CIRCLE
LORTON VA 22079

Officer/Director/Trustee Two

HARRIETT MILLER
DEPUTY DIRECTOR
104 WINDING OAK WAY
BLYTHEWOOD SC 29016

Officer/Director/Trustee Three

CHERYL JOHNSON
CHIEF ADMINISTATOR
41 FORESTGATE CIRCLE
COLUMBIA SC 29212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2017
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R25 - Seniors' Rights
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 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
Signature Title
Signature Date

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