FORM 1023-EZ for TRANSFORM1 INC

Field Data
EIN 87-0848398
Case Number EO-2021232-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRANSFORM1 INC
Organization’s Mailing Address PO BOX 368
City ALPHARETTA
State GA
ZIP 30009
Accounting period End 12
Primary contact name JEFFREY JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY JONES
PRESIDENT-LEAD MINISTER
PO BOX 368
ALPHARETTA GA 30009

Officer/Director/Trustee Two

JOHN BOGHOS
VICE PRESIDENT
PO BOX 368
ALPHARETTA GA 30009

Officer/Director/Trustee Three

BRET BARTLETT
TREASURER
PO BOX 368
ALPHARETTA GA 30009

Officer/Director/Trustee Four

DIANA MARTIN
SECRETARY
PO BOX 368
ALPHARETTA GA 30009

Officer/Director/Trustee Five

CRYSTAL BIGHAM
DIRECTOR
PO BOX 368
ALPHARETTA GA 30009

Organization’s website TRANSFORM1.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 JEFFREY JONES
Signature Title PRESIDENT-LEAD MINISTER
Signature Date 8/18/2021

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