FORM 1023-EZ for POWERED BY GRATITUDE

Field Data
EIN 85-2669419
Case Number EO-2020308-000066
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POWERED BY GRATITUDE
Organization’s Mailing Address 6071 GOLD SPIRIT STREET
City EASTVALE
State CA
ZIP 92880
Accounting period End 12
Primary contact name CHRISTOPHER LARON RANDOLPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE NORMAN
PRESIDENT
6071 GOLD SPIRIT ST
EASTVALE CA 92880

Officer/Director/Trustee Two

ANTHONY SHALLOWHORN
FINANCE DIRECTOR
2438 SCHOLARSHIP
IRVINE CA 92612

Officer/Director/Trustee Three

LARON RANDOLPH
SECRETARY
16379 E PRESERVE LOOP UNIT 2044
CHINO CA 91739

Organization’s website
Organization’s email INFO@TEAM-GRATITUDE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 LARON RANDOLPH
Signature Title SECRETARY
Signature Date 10/30/2020

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