FORM 1023-EZ for TRANSFORMATION 180 FAMILY SERVICES

Field Data
EIN 83-1691559
Case Number EO-2018302-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRANSFORMATION 180 FAMILY SERVICES
Organization’s Mailing Address 3122 LONGSTREET DRIVE
City PETERSBURG
State VA
ZIP 23805
Accounting period End 12
Primary contact name JARNICE GHOLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARNICE GHOLSON
PRESIDENT
13566 GREEN SPIRE COURT
CHESTER VA 23836

Officer/Director/Trustee Two

JACQUELINE WALKER
TREASURER
710 PARK DRIVE S
PETERSBURG VA 23805

Officer/Director/Trustee Three

MICHELLE MYRICK
DIRECTOR
12024 PERDUE SPRINGS LOOP
CHESTER VA 23831

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/17
Organization Incorporation State VA
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: No
Religious: No
Educational: No
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JARNICE GHOLSON
Signature Title PRESIDENT
Signature Date 10/25/18

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