FORM 1023-EZ for EMPOWER

Field Data
EIN 35-2516766
Case Number EO-2014295-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMPOWER
Organization’s Mailing Address 7921 119TH CT SE
City NEW CASTLE
State WA
ZIP 98056
Accounting period End 12
Primary contact name AL ALI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AL RIZWAN ALI
DIRECTOR
7921 119TH CT SE
NEW CASTLE WA 98056

Officer/Director/Trustee Two

AL IMRAN ALI
PRESIDENT
938 110TH AVE NE
BELLEVUE WA 98004

Officer/Director/Trustee Three

AL IMRAN ALI
SECRATARY
938 110TH AVE NE
BELLEVUE WA 98004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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