FORM 1023-EZ for TRANSFORMINGALIFE

Field Data
EIN 82-1364285
Case Number EO-2017221-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRANSFORMINGALIFE
Organization’s Mailing Address 9717 CINCH RING LN
City RANCHO CUCAMONGA
State CA
ZIP 91737
Accounting period End 12
Primary contact name ZAKI MUSTAFA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZAKI MUSTAFA
CEO
9717 CINCH RING LN
RANCHO CUCAMONGA CA 91737

Officer/Director/Trustee Two

LORETTA MUSTAFA
CHIEF FINANCIAL OFFICER
9717 CINCH RING LN
RANCHO CUCAMONGA CA 91737

Officer/Director/Trustee Three

ROBERT ANDALON
SECRETARY
935 S MONTEZUMA
WEST COVINA CA 91791

Organization’s website HTTPS://TRANSFORMINGALIFE.ORG/
Organization’s email TRANSFORMINGALIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 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
Signature Title
Signature Date

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