FORM 1023-EZ for X-CLUSIVE EMPOWERMENT NETWORK

Field Data
EIN 47-1390972
Case Number EO-2020002-000102
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name X-CLUSIVE EMPOWERMENT NETWORK
Organization’s Mailing Address 4106 COBLE BOWMAN WAY
City CANAL WINCHESTER
State OH
ZIP 43110
Accounting period End 12
Primary contact name JANEE JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN GREEN
OFFICER
1433 WILMORE DRIVE
COLUMBUS OH 43209

Officer/Director/Trustee Two

JENNIFER LOWERY
OFFICER
9317 HARNESS COURT
PICKERINGTON OH 43147

Officer/Director/Trustee Three

MELANIE SMITH
OFFICER
3129 FABYAN DRIVE
REYNOLDSBURG OH 43068

Officer/Director/Trustee Four

KIEANNA COTTRELL
OFFICER
2870 DUVALL
COLUMBUS OH 43207

Officer/Director/Trustee Five

JANEE JENKINS
DIRECTOR
4106 COBLE BOWMAN WAY
CANAL WINCHESTER OH 43110

Organization’s website
Organization’s email XCLUSIVEEMPOWERMENT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2015
Organization Incorporation State OH
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: 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 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 JANEE JENKINS
Signature Title DIRECTOR
Signature Date 12/28/2019

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