FORM 1023-EZ for TRANSFORMATION HOUSE

Field Data
EIN 83-1346881
Case Number EO-2018229-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRANSFORMATION HOUSE
Organization’s Mailing Address 2612 APAPANE ST
City LIHUE
State TX
ZIP 96766-9613
Accounting period End 12
Primary contact name BROOKE ASIATICO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MAROCCO
PRESIDENT & DIRECTOR
777 MAUI VETERANS HIGHWAY
KAHULUI HI 96732-3002

Officer/Director/Trustee Two

ANNE FUJII
SECRETARY/TREASURER/DIRECTOR
777 MAUI VETERANS HIGHWAY
KAHULUI HI 96732-3002

Officer/Director/Trustee Three

JOSHUA MAROCCO
VICE PRESIDENT & DIRECTOR
777 MAUI VETERANS HIGHWAY
KAHULUI HI 96732-3002

Officer/Director/Trustee Four

COLLEEN MAROCCO
DIRECTOR
777 MAUI VETERANS HIGHWAY
KAHULUI HI 96732-3002

Officer/Director/Trustee Five

MELANI AKUNA
DIRECTOR
777 MAUI VETERANS HIGHWAY
KAHULUI HI 96732-3002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/18
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
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 JAMES MAROCCO
Signature Title PRESIDENT & DIRECTOR
Signature Date 8/14/18

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