FORM 1023-EZ for THE TRAUMA AND HEALING FOUNDATION

Field Data
EIN 81-4701464
Case Number EO-2019343-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE TRAUMA AND HEALING FOUNDATION
Organization’s Mailing Address 13548 SUTTER CT
City FONTANA
State CA
ZIP 92336
Accounting period End 12
Primary contact name CAROL ADKISSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL ROSE ADKISSON
CEO
13548 SUTTER CT
FONTANA CA 92336

Officer/Director/Trustee Two

AMANDA SHANNON
SECRETARY
316 SE PIONEER WAY 204
OAK HARBOR WA 98277

Officer/Director/Trustee Three

CAROL ROSE ADKISSON
CFO
13548 SUTTER CT
FONTANA CA 92336

Organization’s website TRAUMAHEALINGFOUNDATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAROL ROSE ADKISSON
Signature Title CFO
Signature Date 12/5/2019
EIN 81-4701464
Case Number EO-2018080-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRAUMA AND HEALING FOUNDATION
Organization’s Mailing Address 13548 SUTTER COURT
City FONTANA
State CA
ZIP 92336
Accounting period End 12
Primary contact name DUBERLY BECK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA SHANNON
DIRECTOR
13548 SUTTER COURT
FONTANA CA 92336

Officer/Director/Trustee Two

MIRANDA MURARIK
DIRECTOR
13548 SUTTER COURT
FONTANA CA 92336

Officer/Director/Trustee Three

CINDI RIGGINS
DIRECTOR
13548 SUTTER COURT
FONTANA CA 92336

Officer/Director/Trustee Four

CAROL ADKISSON
EXECUTIVE DIRECTOR
13548 SUTTER COURT
FONTANA CA 92336

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 CAROL ADKISSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/19/18

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