FORM 1023-EZ for TREE OF LIFE TRANSFORMATION CENTER
| Field | Data |
|---|---|
| EIN | 81-4180707 |
| Case Number | EO-2017254-000490 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | TREE OF LIFE TRANSFORMATION CENTER |
| Organization’s Mailing Address | 2540 PATSY ANNE DRIVE |
| City | JACKSONVILLE |
| State | FL |
| ZIP | 32207 |
| Accounting period End | 12 |
| Primary contact name | VICTOR BAROUSSE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KATHLEEN BAROUSSE
PRESIDENT/DIRECTOR
2540 PATSY ANNE DRIVE
JACKSONVILLE FL 32207
Officer/Director/Trustee Two
VICTOR BAROUSSE
TREASURER/DIRECTOR
2540 PATSY ANNE DRIVE
JACKSONVILLE FL 32207
Officer/Director/Trustee Three
SARA BALDWIN
SECRETARY/DIRECTOR
4495-304 ROOSEVELT BLVD NO 245
JACKSONVILLE FL 32210
Officer/Director/Trustee Four
FRANK BARNES
DIRECTOR
95076 BERMUDA DRIVE
FERNANDINA BEACH FL 32034
Officer/Director/Trustee Five
MIKE MANN
DIRECTOR
8550 UNITED PLAZA BLVD STE 702
BATON ROUGE LA 70809
| Organization’s website | |
|---|---|
| Organization’s email | VICTORB@TREEOFLIFETC.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/27/2016 |
| Organization Incorporation State | FL |
| 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: Yes 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 | 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 | 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 | |
| Signature Date |
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