FORM 1023-EZ for EMPOWERMENT OUTREACH CENTER

Field Data
EIN 82-3761257
Case Number EO-2018029-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERMENT OUTREACH CENTER
Organization’s Mailing Address 526 WASHBURN AVENUE
City EDEN
State NC
ZIP 27288
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILFORD WILLIAMS
PRESIDENT
526 WASHBURN AVENUE
EDEN NC 27288

Officer/Director/Trustee Two

YVETTE WILLIAMS
SECRETARY
526 WASHBURN AVENUE
EDEN NC 27288

Officer/Director/Trustee Three

DEMOND WILLIAMS
TREASURER
2509 REID SCHOOL ROAD
REIDSVILLE NC 27320

Officer/Director/Trustee Four

WILLIAM BAGGERLY
BOARD MEMBER
PO BOX 10826
DANVILLE VA 24543

Officer/Director/Trustee Five

TONYA MANN
BOARD MEMBER
10398 SEVEN PATH ROAD
SPRING HOPE NC 27882

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 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 WILFORD WILLIAMS
Signature Title PRESIDENT
Signature Date 1/25/18

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