FORM 1023-EZ for EMPOWER HEALTHCARE INC

Field Data
EIN 85-2591676
Case Number EO-2021089-000431
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWER HEALTHCARE INC
Organization’s Mailing Address 491 EAST MAIN STREET
City PAHOKEE
State FL
ZIP 33476
Accounting period End 12
Primary contact name JINGA OGLESBY-BRIHM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JINGA OGLESBY-BRIHM
PRESIDENT/CEO
2430 WELLINGTON GREEN DRIVE APT 209
WELLINGTON FL 33414

Officer/Director/Trustee Two

SHAUNTEE DUDLEY
TREASURER
17930 NW 43 AVE
MIAMI FL 33055

Officer/Director/Trustee Three

JOHNNY MCKENZIE
CHAIRPERSON OF GOVERNING BODY
9348 HERON COVE DR
WEST PALM BEACH FL 33411

Organization’s website
Organization’s email EMPOWERHC4ALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 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 JINGA OGLESBY-BRIHM
Signature Title PRESIDENT/CEO
Signature Date 2/10/2021

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