FORM 1023-EZ for EMPOWER HOUSE MENTORING CENTER INC

Field Data
EIN 26-2632396
Case Number EO-2020149-000011
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWER HOUSE MENTORING CENTER INC
Organization’s Mailing Address 3700 BRANT WAY
City ANTIOCH
State CA
ZIP 94509
Accounting period End 12
Primary contact name CAROLYN J HENDRIX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN J HENDRIX
PRESIDENT
3700 BRANT WAY
ANTIOCH CA 94509

Officer/Director/Trustee Two

OBUMNEME N OKEKE
VICE PRESIDENT
4320 MINK COURT
ANTIOCH CA 94531

Officer/Director/Trustee Three

CHEYVONNE MOLINO
SECRETARY
3700 BRANT WAY
ANTIOCH CA 94509

Organization’s website
Organization’s email EMPOWERHOUS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2008
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 OBUMNEME N OKEKE
Signature Title VICE PRESIDENT
Signature Date 5/23/2020

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