FORM 1023-EZ for TRANSFORMATION VISITATION HOME

Field Data
EIN 82-3350736
Case Number EO-2020239-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRANSFORMATION VISITATION HOME
Organization’s Mailing Address 717 S WILLIS
City INDEPENDENCE
State MO
ZIP 64052
Accounting period End 12
Primary contact name COLLEEN HUFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLLEEN HUFF
PRESIDENT/EXECUTIVE DIRECTOR
717 S WILLIS
INDEPENDENCE MO 64052

Officer/Director/Trustee Two

TERESE MOUNTJOY
SECRETARY
160 HEARTWOOD CIR
OZARK AL 36360

Officer/Director/Trustee Three

SABRINA FRANCIS
TREASURER
9413 LEWIS AVE
KANSAS CITY MO 64138

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name COLLEEN HUFF
Signature Title PRESIDENT/EXECUTIVE DIRECTOR
Signature Date 8/22/2020
EIN 82-3350736
Case Number EO-2019171-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRANSFORMATION VISITATION HOME
Organization’s Mailing Address 717 SOUTH WILLIS AVENUE
City INDEPENDENCE
State MO
ZIP 64052
Accounting period End 12
Primary contact name COLLEEN HUFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLLEEN HUFF
PRESIDENT
717 SOUTH WILLIS AVENUE
INDEPENDENCE MO 64052

Officer/Director/Trustee Two

TERESE MOUNTJOY
VICE-PRESIDENT
160 HEARTWOOD CIRCLE
OZARK AL 36360

Officer/Director/Trustee Three

SABRINA FRANCIS
SECRETARY
9413 LEWIS AVENUE
KANSAS CITY MO 64138

Officer/Director/Trustee Four

JENNIE SWEARNGIN
TREASURER
215 SOUTHEAST DOUGLAS STREET
LEES SUMMIT MO 64063

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/17
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name COLLEEN HUFF
Signature Title PRESIDENT
Signature Date 6/18/19

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