FORM 1023-EZ for PAULDEN TRANSFORMATION CENTER

Field Data
EIN 83-2743333
Case Number EO-2019030-000718
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAULDEN TRANSFORMATION CENTER
Organization’s Mailing Address PO BOX 1248
City PAULDEN
State AZ
ZIP 86334-1248
Accounting period End 12
Primary contact name TERRI MCPHERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRI MCPHERSON
PRESIDENT/DIRECTOR
PO BOX 1248
PAULDEN AZ 86334-1248

Officer/Director/Trustee Two

JUANITA CARR
SECRETARY-TREASURER/DIRECTOR
PO BOX 1248
PAULDEN AZ 86334-1248

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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 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 TERRI MCPHERSON
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/26/18

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