FORM 1023-EZ for EMPOWER ME

Field Data
EIN 47-3406560
Case Number EO-2015082-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMPOWER ME
Organization’s Mailing Address 3709 CRESTMORE DRIVE
City HUNTSVILLE
State AL
ZIP 35816
Accounting period End 12
Primary contact name JEANNETTEE MASON ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEANNETTE MASON-ROBINSON
PRESIDENT
3709 CRESTMORE
HUNTSVILLE AL 35816

Officer/Director/Trustee Two

DENICE MASON
VICE PRESIDENT
449 E MOSSLEAF DRIVE
HUNTSVILLE AL 35824

Officer/Director/Trustee Three

VICTOR SMITH
SECRETARY
4607 CALVERT RD
HUNTSVILLE AL 35810

Officer/Director/Trustee Four

MARCIA COOPER
TREASURER
153 TAMMY GAINES
HUNTSVILLE AL 35811

Officer/Director/Trustee Five

JIM RODERIQUE
BOARD MEMBER
8260 HEWLETT RD
SANDY SPRINGS GA 30350

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R99 - Civil Rights, Social Action, Advocacy N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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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