FORM 1023-EZ for FLAME EMPOWERMENT INC

Field Data
EIN 82-2626789
Case Number EO-2017270-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLAME EMPOWERMENT INC
Organization’s Mailing Address 4400 BROWNSVILLE ROAD STE 205-107
City POWDER SPRINGS
State GA
ZIP 30127
Accounting period End 10
Primary contact name BETTY FORTUNAT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALBERTE FORTUNAT
CEO
4458 KARRON DR
POWDER SPRING GA 30127

Officer/Director/Trustee Two

GEORDANE PIERRE
DIRECTOR
4458 KARRON DR
POWDER SPRING GA 30127

Officer/Director/Trustee Three

KATRINA ARNOLD
DIRECTOR
4458 KARRON DRIVE
POWDER SPRING GA 30127

Officer/Director/Trustee Four

ROSE APOLLON
TRUSTEE
7270 CHANTILY CT
DOUGLASVILLE GA 30134

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2017
Organization Incorporation State GA
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 Yes
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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