FORM 1023-EZ for EMPOWER MEMPHIS

Field Data
EIN 83-3346165
Case Number EO-2019070-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWER MEMPHIS
Organization’s Mailing Address 3132 CENTRAL AVENUE
City MEMPHIS
State TN
ZIP 38111
Accounting period End 10
Primary contact name CAROLINE GAINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLINE GAINES
INCORPORATOR
3132 CENTRAL AVENUE
MEMPHIS TN 38111

Officer/Director/Trustee Two

BRIAN JOHNSON
TRUSTEE
10065 EAST COUNTRY WAY DRIVE
MEMPHIS TN 38018

Organization’s website
Organization’s email EMPOWERMEMPHIS2019@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 CAROLINE GAINES
Signature Title INCORPORATOR
Signature Date 3/9/19

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