FORM 1023-EZ for EMPOWER HUMANITY INC

Field Data
EIN 81-1467702
Case Number EO-2016077-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMPOWER HUMANITY INC
Organization’s Mailing Address 1030 E SUBLETTE
City POCATELLO
State ID
ZIP 83201
Accounting period End 7
Primary contact name KATIE LEAVITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RYAN LEAVITT
BOARD OF DIRECTOR
369 VALLEYVIEW DRIVE
POCATELLO ID 83204

Officer/Director/Trustee Two

SHALYN BROWN
BOARD OF DIRECTOR
839 N 10TH
POCATELLO ID 83201

Officer/Director/Trustee Three

KATIE LEAVITT
BOARD OF DIRECTOR
369 VALLEYVIEW DRIVE
POCATELLO ID 83204

Organization’s website
Organization’s email OLDCHURCHRECORDS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State ID
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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