FORM 1023-EZ for TRANSFORM A NATION INC

Field Data
EIN 81-2384995
Case Number EO-2019270-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRANSFORM A NATION INC
Organization’s Mailing Address 3806 MIDHEIGHTS ROAD
City BALTIMORE
State MD
ZIP 21215
Accounting period End 12
Primary contact name TAMMY BRASWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY BRASWELL
EXECUTIVE DIRECTOR
3806 MIDHEIGHTS RD
BALTIMORE MD 21215

Officer/Director/Trustee Two

TONYA BANKS
PRESIDENT
7629 JOHNNYCAKE RD
WINDSOR MD 21244

Officer/Director/Trustee Three

BELINDA DAVIS
VICE PRESIDENT
1132 NEWFIELD RD
BALTIMORE MD 21207

Officer/Director/Trustee Four

JO ANN TYLER
SECRETARY
6914 BROOKMILL RD
BALTIMORE MD 21215

Organization’s website N/A
Organization’s email T.BRASWELL0401@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/16
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 No
Donation of funds Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMMY BRASWELL
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/25/19
EIN 81-2384995
Case Number EO-2017037-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRANSFORM A NATION INC
Organization’s Mailing Address 3806 MIDHEIGHTS ROAD
City BALTIMORE
State MD
ZIP 21215
Accounting period End 1
Primary contact name TAMMY BRASWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY BRASWELL
EXECUTIVE DIRECTOR/FOUNDER
3806 MIDHEIGHTS ROAD
BALTIMORE MD 21215

Officer/Director/Trustee Two

KARLA PRYOR
SECRETARY
8 BALLYMENA CT
CATONSVILLE MD 21228

Officer/Director/Trustee Three

WENDY MERRICK
MEMBER
508 CHARING CROSS ROAD
BALTIMORE MD 21229

Officer/Director/Trustee Four

TONYA PHILLIPS
VICE CHAIR
3806 MIDHEIGHTS ROAD
BALTIMORE MD 21215

Officer/Director/Trustee Five

TONYA BANKS
TREASUER
7629 JOHNNYCAKE ROAD
WINDSOR MILL MD 21244

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 No
Donation of funds Yes
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 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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