FORM 1023-EZ for TRANSFORMING CARE INCORPORATED

Field Data
EIN 47-5107003
Case Number EO-2016250-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRANSFORMING CARE INCORPORATED
Organization’s Mailing Address 5665 EAST LN
City LAKEVIEW
State NY
ZIP 14085-9629
Accounting period End 12
Primary contact name PAUL CESANA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL CESANA
BOARD CHAIR
4 LOTUS BAY ESTATE DRIVE
IRVING NY 14081

Officer/Director/Trustee Two

MARGARET BUCKLEY
BOARD VICE-CHAIR
5665 EAST LN
LAKEVIEW NY 14085-9629

Officer/Director/Trustee Three

BETH ANN VANDERBERG
BOARD SECRETARY
146 WINSTON ROAD
BUFFALO NY 14216

Officer/Director/Trustee Four

DAVID MORLOCK
BOARD TREASURER
5665 EAST LN
LAKEVIEW NY 14084-9629

Officer/Director/Trustee Five

SARAH PFEISTER
BOARD DIRECTOR
94 NORTH ELLICOTT STREET
WILLIAMSVILLE NY 14221

Organization’s website WWW.TRANSFORMINGCARE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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
Signature Date

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