FORM 1023-EZ for FREE & EMPOWERED NOW

Field Data
EIN 84-4972127
Case Number EO-2020153-000132
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FREE & EMPOWERED NOW
Organization’s Mailing Address 4540 NORTH DELTA AVENUE
City ROSEMEAD
State CA
ZIP 91770
Accounting period End 12
Primary contact name JORGE POLZIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORGE POLZIN
PRESIDENT
4540 NORTH DELTA AVENUE
ROSEMEAD CA 91770

Officer/Director/Trustee Two

MARIAH QUEVEDO
TREASURER
1126 N FULLER AVE
WEST HOLLYWOOD CA 90046

Officer/Director/Trustee Three

EVA ROY
CHAIR OF THE GOVERNING BODY
4540 DELTA AVENUE
ROSEMEAD CA 91770

Organization’s website
Organization’s email JORGE.POLZIN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
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 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 JORGE POLZIN
Signature Title PRESIDENT
Signature Date 5/29/2020

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