FORM 1023-EZ for GIRLS EMPOWERED INCORPORATED

Field Data
EIN 82-2958143
Case Number EO-2017285-000158
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GIRLS EMPOWERED INCORPORATED
Organization’s Mailing Address 219 AMY CIRCLE
City MARION
State AR
ZIP 72364
Accounting period End 12
Primary contact name NATASHA CLAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATASHA CLAY
EXECUTIVE DIRECTOR
219 AMY CIRCLE
MARION AR 72364

Officer/Director/Trustee Two

KENDRA PHILLIPS
PRESIDENT
974 LACKEY ROAD
MARION AR 72364

Officer/Director/Trustee Three

SAMONE VAIL
VICE PRESIDENT
2000 EAST HARRISON
WEST MEMPHIS AR 72301

Officer/Director/Trustee Four

ALISHA BEARD
SECRETARY
620 RAINER APT 3
WEST MEMPHIS AR 72301

Officer/Director/Trustee Five

RAVEN BROWN
TREASURER
1508 COLONIAL ROAD
WEST MEMPHIS AR 72301

Organization’s website WWW.GIRLSEMPOWEREDMENTORING.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2017
Organization Incorporation State AR
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: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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