| Field | Data |
|---|---|
| EIN | 86-3768996 |
| Case Number | EO-2021203-000145 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EMPOWERED SENIOR INC DBA EMPOWERINGSENIORS |
| Organization’s Mailing Address | 7016 S GREENWICH RD |
| City | DERBY |
| State | KS |
| ZIP | 67037 |
| Accounting period End | 12 |
| Primary contact name | DIANE HASKINS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DIANE HASKINS
SECRETARY
7016 S GREENWICH RD
DERBY KS 67037
NICOLE EASTON
TREASURER
245 N WACO STE 120 PO BOX 3699
WICHITA KS 67201
KATHERINE AMBROSE
PRESIDENT
3131 N MAIZE RD
WICHITA KS 67205
| Organization’s website | EMPOWEREDSENIOR.ORG |
|---|---|
| Organization’s email | EMPOWEREDSENIOR@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/1/2021 |
| Organization Incorporation State | KS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| Organization’s purpose | Charitable: Yes Religious: No 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 | DIANE HASKINS |
| Signature Title | SECRETARY |
| Signature Date | 7/20/2021 |
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