FORM 1023-EZ for TRANSFORM OUR REALITY INCORPORATED

Field Data
EIN 83-0528774
Case Number EO-2021288-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRANSFORM OUR REALITY INCORPORATED
Organization’s Mailing Address 9601 S HOBART BLVD
City LOS ANGELES
State CA
ZIP 90047
Accounting period End 11
Primary contact name ANTHONY SIMIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE PALMER
PRESIDENT & DIRECTOR
9601 S HOBART BLVD
LOS ANGELES CA 90047

Officer/Director/Trustee Two

ART JOHNSON
TREASURER&SECRETARY&DIRE
28522 LAS ARUBAS
LAGUNA NIGUEL CA 92777

Organization’s website
Organization’s email CARRIE.PALMER1977@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/2018
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 CARRIE PALMER
Signature Title PRESIDENT & DIRECTOR
Signature Date 10/13/2021

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