FORM 1023-EZ for EMPOWER HEALTHY COMMUNITIES INC

Field Data
EIN 82-1178029
Case Number EO-2020252-000568
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWER HEALTHY COMMUNITIES INC
Organization’s Mailing Address 35 N 5TH ST FL2
City NEWARK
State NJ
ZIP 07107
Accounting period End 12
Primary contact name COLLINS K ASAMOA-AFRIYIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLLINS K ASAMOA-AFRIYIE
CEO/DIRECTOR
35 N 5TH ST FL2
NEWARK NJ 07107

Officer/Director/Trustee Two

JENNIFER ASAMOA-AFRIYIE
MEMBER
35 N 5TH ST FL2
NEWARK NJ 07107

Officer/Director/Trustee Three

MICAYLA ASAMOA-AFRIYIE
TRUSTEE
35 N 5TH ST FL2
NEWARK NJ 07107

Officer/Director/Trustee Four

CHRISTABLE ASAMOA-AFRIYIE
TRUSTEE
35 N 5TH ST FL2
NEWARK NJ 07107

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name COLLINS K ASAMOA-AFRIYIE
Signature Title CEO/DIRECTOR
Signature Date 9/4/2020

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