FORM 1023-EZ for EMPOWERU SPECIALTY FITNESS INC

Field Data
EIN 84-3389232
Case Number EO-2019305-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERU SPECIALTY FITNESS INC
Organization’s Mailing Address 443 E FLORA ST
City PHILADELPHIA
State PA
ZIP 19125
Accounting period End 12
Primary contact name JOSEPH DELVISCIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH DELVISCIO
PRESIDENT
443 EAST FLORA STREET
PHILADELPHIA PA 19125

Officer/Director/Trustee Two

LAWRENCE RUBIN
TREASURER
600 VALLEY ROAD APT B42
WARRINGTON PA 18976

Officer/Director/Trustee Three

LUCAS TREBISACCI
CHAIRPERSON
1911 MANTON ST
PHILADELPHIA PA 19146

Officer/Director/Trustee Four

HILLARY DELVISCIO
VICE PRESIDENT
443 EAST FLORA STREET
PHILADELPHIA PA 19125

Officer/Director/Trustee Five

JOHN PORTER
SECRETARY
7013 ATLANTIC AVE
UPPER DARBY PA 19082

Organization’s website
Organization’s email JLDELVISCIO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 JOSEPH DELVISCIO
Signature Title PRESIDENT
Signature Date 10/30/19

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