FORM 1023-EZ for ROMANS 12 2 TRANSFORMATION HOUSE

Field Data
EIN 85-0603249
Case Number EO-2020171-000030
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROMANS 12 2 TRANSFORMATION HOUSE
Organization’s Mailing Address 906 N EAST ST
City BENTON
State AR
ZIP 72015
Accounting period End 12
Primary contact name APRIL JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FREDDY SWAIM
PRESIDENT
1520 APRIL SOUND
BENTON AR 72019

Officer/Director/Trustee Two

LAURA MAYES
VICE-PRESIDENT
1617 PRICKETT RD
BRYANT AR 72022

Officer/Director/Trustee Three

WALTER MOON
DIRECTOR
2002 NE OAKMONT RD
BENTONVILLE AR 72712

Officer/Director/Trustee Four

LANELL WOMACK
SECRETARY/TREASURER
1807 TROY CIRCLE
BENTON AR 72019

Officer/Director/Trustee Five

MATT BRUMLEY
DIRECTOR
1303 BUCKINGHAM CT
BENTON AR 72019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2020
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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 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 LAURA MAYES
Signature Title VICE-PRESIDENT
Signature Date 6/17/2020

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