| Field | Data |
|---|---|
| EIN | 82-4784249 |
| Case Number | EO-2018101-000455 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TRANSFORMATION HAVEN MINISTRIES |
| Organization’s Mailing Address | 531 COLLEGE STREET |
| City | MADISONVILLE |
| State | TN |
| ZIP | 37354-1103 |
| Accounting period End | 6 |
| Primary contact name | SELENA RIDER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
SELENA RIDER
FOUNDER-PRESIDENT-DIRECTOR
531 COLLEGE STREET
MADISONVILLE TN 37354-1103
LONNIE AGUILERRA
BOARD MEMBER
531 COLLEGE STREET
MADISONVILLE TN 37354-1103
WILBURN CLEMMER
CFO
175 OLD EBLEN ROAD
LENOIR CITY TN 37771
TODD HADAAD
BOARD MEMBER
12927 MEADOW POINTE LANE
KNOXVILLE TN 37934
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/14/18 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | 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 | 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 | SELENA RIDER |
| Signature Title | FOUNDER-PRESIDENT-DIRECTOR |
| Signature Date | 4/9/18 |
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