FORM 1023-EZ for TRANSFORMATIVE SERVICES

Field Data
EIN 86-1260467
Case Number EO-2021096-000014
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRANSFORMATIVE SERVICES
Organization’s Mailing Address 1922 S 104TH STREET SUITE C
City SEATTLE
State WA
ZIP 98168-1628
Accounting period End 12
Primary contact name VERONICA RENE ABRAM LSWA-IC ACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERONICA RENE ABRAM MSW LSWA-IC ACHP-SW
DIRECTOR/BOARD PRESIDENT
1922 S 104TH STREET SUITE C
SEATTLE WA 98168-1628

Officer/Director/Trustee Two

ORVILLE ROBERT YOUNG JR
FOUNDER PRESIDENT EMERITUS
1922 S 104TH STREET SUITE C
SEATTLE WA 98168-1628

Officer/Director/Trustee Three

KRISTOL AKEA PARKER
SECRETARY
1922 S 104TH STREET SUITE C
SEATTLE WA 98168-1628

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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
Signature Title DIRECTOR/BOARD PRESIDENT
Signature Date 3/5/2021

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