FORM 1023-EZ for EMPOWER YOUR LIFE TODAY INC

Field Data
EIN 82-0987402
Case Number EO-2017123-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMPOWER YOUR LIFE TODAY INC
Organization’s Mailing Address 217 LONG DRIVE
City MCDONOUGH
State GA
ZIP 30253-6699
Accounting period End 12
Primary contact name JOSUE BLOCUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSUE BLOCUS
CHAIRMAN
217 LONG DRIVE
MCDONOUGH GA 30253-6699

Officer/Director/Trustee Two

JACE GATEWOOD
TREASURER
2871 TERRA VIEW DRIVE SW
LILBURN GA 30047-2575

Officer/Director/Trustee Three

CHANELLE TOOLE
SECRETARY
45018 GARDNER DRIVE
ALPHARETTA GA 30009-8616

Organization’s website
Organization’s email FRENCHYFRANCE68@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
Organization Incorporation State GA
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: 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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