FORM 1023-EZ for LEAP EMPOWERMENT

Field Data
EIN 81-2047968
Case Number EO-2016119-000428
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEAP EMPOWERMENT
Organization’s Mailing Address 2618-A BATTLEGROUND AVENUE STE 208
City GREENSBORO
State NC
ZIP 27408
Accounting period End 12
Primary contact name LOUIS JUDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LOUIS JUDGE III
CHAIRMAN OF BOARD
3708 WYNTERHALL WAY
GREENSBORO NC 27405

Officer/Director/Trustee Two

ODELL CLEVELAND
DIRECTOR
6905 WICKLOW DRIVE
BROWN SUMMIT NC 27214

Officer/Director/Trustee Three

GEORGE SCOTT
DIRECTOR
702 WESTMINISTER DRIVE
GREENSBORO NC 27410

Officer/Director/Trustee Four

MARCUS LEDBETTER
DIRECTOR
1514 WILLOW ROAD
GREENSBORO NC 27401

Officer/Director/Trustee Five

CHARLES BLACKMON
DIRECTOR
8 WETHERBURN WAY
GREENSBORO NC 27410

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
Organization’s purpose Charitable: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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