FORM 1023-EZ for HOUSE OF TRANSFORMATION
| Field | Data |
|---|---|
| EIN | 84-2378331 |
| Case Number | EO-2019224-000580 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HOUSE OF TRANSFORMATION |
| Organization’s Mailing Address | 500 E TUDOR RD STE 20 |
| City | ANCHORAGE |
| State | AK |
| ZIP | 99503 |
| Accounting period End | 12 |
| Primary contact name | LINA MAVAEGA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROSALINE MAVAEGA
PRESIDENT
500
ANCHORAGE AK 99503
Officer/Director/Trustee Two
ESAU FUALEMA
VICE PRESIDENT
500 E TUDOR RD STE 200
ANCHORAGE AK 99503
Officer/Director/Trustee Three
JUNIOR GISA
TREASURER
500 E TUDOR RD STE 200
ANCHORAGE AK 99503
Officer/Director/Trustee Four
LEANDA WATERS
SECRETARY
500 E TUDOR RD STE 200
ANCHORAGE AK 99503
Officer/Director/Trustee Five
ERICA LOLESIO
OFFICER
500 E TUDOR RD STE 200
ANCHORAGE AK 99503
| Organization’s website | WWW.HOUSEOFTRANSFORMATIONS.COM |
|---|---|
| Organization’s email | ADMIN@HOUSEOFTRANSFORMATIONS.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/12/19 |
| Organization Incorporation State | AK |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| 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 | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| 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 | ROSALINE MAVAEGA |
| Signature Title | PRESIDENT |
| Signature Date | 8/9/19 |
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