FORM 1023-EZ for MOTHER EMPOWERMENT

Field Data
EIN 82-5081496
Case Number EO-2018113-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTHER EMPOWERMENT
Organization’s Mailing Address 10558 EASTERN SHORE BLVD APT 2222
City SPANISH FORT
State AL
ZIP 36527
Accounting period End 3
Primary contact name TOMIKA B VINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JALEN DIXON
FOUNDER
10558 EASTERN SHORE BLVD APT 2222
SPANISH FORT AL 36527

Officer/Director/Trustee Two

JAMAL VINES
CO-FOUNDER
10558 EASTERN SHORE BLVD APT 2222
SPANISH FORT AL 36527

Officer/Director/Trustee Three

JEFFERY BROWN JR
SECRETARY
10558 EASTERN SHORE BLVD APT 2222
SPANISH FORT AL 36527

Officer/Director/Trustee Four

TOMIKA VINES
FINANCIAL
10558 EASTERN SHORE BLVD APT 2222
SPANISH FORT AL 36527

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, Services
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TOMIKA VINES
Signature Title FINANCIAL
Signature Date 4/19/18

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