FORM 1023-EZ for EMPOWR CO

Field Data
EIN 84-3572564
Case Number EO-2019336-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWR CO
Organization’s Mailing Address 2900 DELK ROAD STE 700 PMB 186
City MARIETTA
State GA
ZIP 30067
Accounting period End 2
Primary contact name ADRIAN LEROY DEVEZIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIAN DEVEZIN
EXECUTIVE DIRECTOR
2850 DELK RD 33G
MARIETTA GA 30067

Officer/Director/Trustee Two

REJOICE JONES
PROJECT DIRECTOR
870 MAYSON TURNER RD APT 1242
ATLANTA GA 30314

Officer/Director/Trustee Three

JOHN ALLEN
COMMUNITY RELATIONS DIRECTOR
233 S FIELD CREST DRIVE
JACKSONVILLE FL 32092

Organization’s website EMPOWRCO.ORG
Organization’s email SUPPORT@EMPOWRCO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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 ADRIAN DEVEZIN
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/29/19

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