FORM 1023-EZ for EMPOWER INC

Field Data
EIN 85-4010053
Case Number EO-2021027-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWER INC
Organization’s Mailing Address 420 SE 22ND AVE
City PORTLAND
State OR
ZIP 97214
Accounting period End 12
Primary contact name JULIAN LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIAN LAWRENCE
PRESIDENT/CEO , TREASURER/CFO , CHA
420 SE 22ND AVE
PORTLAND OR 97214

Officer/Director/Trustee Two

ALAN WEBSTER
VICE PRES, VICE CHAIR
420 SE 22ND AVE
PORTLAND OR 97214

Officer/Director/Trustee Three

CLARK OWENS
MEMBER
420 SE 22ND AVE
PORTLAND OR 97214

Officer/Director/Trustee Four

TAALIB MADYUN
MEMBER
420 SE 22ND AVE
PORTLAND OR 97214

Officer/Director/Trustee Five

DAWN MCCALL
MEMBER
420 SE 22ND AVE
PORTLAND OR 97214

Organization’s website empoweringoregon.org
Organization’s email Admin@empoweringoregon.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JULIAN LAWRENCE
Signature Title PRESIDENT/CEO , TREASURER/CFO , CHA
Signature Date 12/3/2020

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