FORM 1023-EZ for SUCCESSFUL LIFE EMPOWERMENT CENTER

Field Data
EIN 47-4663683
Case Number EO-2016309-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUCCESSFUL LIFE EMPOWERMENT CENTER
Organization’s Mailing Address 4711 OLD CHARLOTTE HWY
City INDIAN TRAIL
State NC
ZIP 28079
Accounting period End 12
Primary contact name OZELLA ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OZELLA ANDERSON
FOUNDER/CEO
6916 WHITE BEAM WAY
MATTHEWS NC 28105

Officer/Director/Trustee Two

WILLIE MCKINNEY
TREASURER
1651 STINSON RD
LANCANSTER SC 29720

Officer/Director/Trustee Three

EFFIE BREWER
SECRETARY
801 S BRANCH STREET
MONROE NC 28112

Officer/Director/Trustee Four

JANIE MCKINNEY
CHAIRMAN
5214 LEE MASSEY RD
WAXHAW NC 28173

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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