FORM 1023-EZ for EMPOWERMENT PROJECT - AUSTIN

Field Data
EIN 84-4939436
Case Number EO-2020064-000389
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERMENT PROJECT - AUSTIN
Organization’s Mailing Address 1041 GUNDERSON AVE
City OAK PARK
State IL
ZIP 60304
Accounting period End 12
Primary contact name DANIELLE MORALES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE MORALES KLIMA
CO EXECUTIVE DIRECTOR
1041 GUNDERSON
OAK PARK IL 60304

Officer/Director/Trustee Two

SHAWN NETISHINGHA
CO EXECUTIVE DIRECTOR
138 CLINTON AVE
OAK PARK IL 60302

Organization’s website
Organization’s email EMPOWERAUSTIN@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2020
Organization Incorporation State IL
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIELLE MORALES KLIMA
Signature Title CO EXECUTIVE DIRECTOR
Signature Date 3/2/2020

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