FORM 1023-EZ for ELEMENTS OF EMPOWERMENT INC

Field Data
EIN 81-4020519
Case Number EO-2016313-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELEMENTS OF EMPOWERMENT INC
Organization’s Mailing Address 7 SOUTH MAIN STREET
City BELMONT
State NC
ZIP 28012-3811
Accounting period End 8
Primary contact name HERBERT V HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELTA SANDERS
BOARD CHAIRPERSON
205 6TH STREET
BELMONT NC 28012-3350

Officer/Director/Trustee Two

HERBERT HILL
BOARD VICE CHAIRMAN
14550 HARBOR ESTATE ROAD
CHARLOTTE NC 28278-7304

Officer/Director/Trustee Three

DAVID NEELEY
BOARD SECRETARY
11807 CAROLINA BLOSSOM LANE
PINEVILLE NC 28134-9048

Officer/Director/Trustee Four

LAKISHA MCNAIR
BOARD TREASURER
3333 BELSOUTH DRIVE
BELMONT NC 28012-2775

Organization’s website
Organization’s email ELEMENTSOFEMPOWERMENT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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