FORM 1023-EZ for EMPOWERMENT HEALTHCARE SERVICES INCORPORATED

Field Data
EIN 83-1010300
Case Number EO-2018180-000469
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERMENT HEALTHCARE SERVICES INCORPORATED
Organization’s Mailing Address 9295 WHISKEY BOTTOM ROAD
City LAUREL
State MD
ZIP 20723
Accounting period End 12
Primary contact name BARBARA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELLA NUETE
PRESIDENT
9295 WHISKEY BOTTOM ROAD
LAUREL MD

Officer/Director/Trustee Two

STEPHANIE SANGAH
DIRECTOR
10107 BALTIMORE AVE APT 4410
COLLEGE PARK MD 20740

Officer/Director/Trustee Three

SANDRA DICKSON
DIRECTOR
8504 16TH STREET APT 503
SILVER SPRING MD 20910

Officer/Director/Trustee Four

ROSEMARY BANAHENE
DIRECTOR
11885 NEW COUNTRY LANE
COLUMBIA MD 21044

Officer/Director/Trustee Five

BARBARA BROWN
DIRECTOR
3906 GREENCASTLE RIDGE DRIVE
BURTONSVILLE MD 20866

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 No
Conducting Activities Outside of United States Yes
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 DELLA NUETE
Signature Title PRESIDENT
Signature Date 6/27/18

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