FORM 1023-EZ for EDUCATION TRANSFORM LIVES FOUNDATION

Field Data
EIN 81-0711106
Case Number EO-2016354-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EDUCATION TRANSFORM LIVES FOUNDATION
Organization’s Mailing Address 6812 OAKLAND STREET
City PHILADELPHIA
State PA
ZIP 19149
Accounting period End 12
Primary contact name CLOVIS DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLOVIS DIXON
PRESIDENT AND DIRECTOR
6812 OAKLAND STREET
PHILADELPHIA PA 19149

Officer/Director/Trustee Two

JULIE PIOTROWICZ
DIRECTOR
224 N TYSON AVENUE
GLENSIDE PA 19038

Officer/Director/Trustee Three

CIANNA COOPER
DIRECTOR
3922 CHARTER CLUB DRIVE
DOYLESTOWN PA 18902

Officer/Director/Trustee Four

ERIC HILTON
DIRECTOR
29 WOODVIEW LANE
NORTH WALES PA 19454

Officer/Director/Trustee Five

PRISCILLA RICE
DIRECTOR
16 FREEDOM LANE
LEVITTOWN PA 19055

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q32 - International Economic Development
Organization’s purpose Charitable: No
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 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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