FORM 1023-EZ for GIRLS EMPOWERED INC

Field Data
EIN 82-3204951
Case Number EO-2018057-000460
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIRLS EMPOWERED INC
Organization’s Mailing Address PO BOX 310168
City ATLANTA
State GA
ZIP 31131-168
Accounting period End 12
Primary contact name ERICA COUBEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERICA COUBEN
PRESIDENT
PO BOX 310168
ATLANTA GA 31131-168

Officer/Director/Trustee Two

TAI DARDEN
TREASURER
PO BOX 310168
ATLANTA GA 31131-168

Officer/Director/Trustee Three

KOURTNEY SMITH
SECRETARY
PO BOX 310168
ATLANTA GA 31131-168

Officer/Director/Trustee Four

ASHLEY MORGAN
OFFICER
PO BOX 310168
ATLANTA GA 31131-168

Officer/Director/Trustee Five

DENISE JAMES
OFFICER
PO BOX 310168
ATLANTA GA 31131-168

Organization’s website WWW.GIRLSEMPOWEREDATL.ORG
Organization’s email GIRLSEMPOWEREDATL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O22 - Girls Clubs
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 ERICA COUBEN
Signature Title PRESIDENT
Signature Date 2/23/18

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