FORM 1023-EZ for SERENITY INTERNATIONAL INC

Field Data
EIN 85-2236328
Case Number EO-2020216-000531
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERENITY INTERNATIONAL INC
Organization’s Mailing Address 5170 COLLINS RD APT 206
City JACKSONVILLE
State FL
ZIP 32244
Accounting period End 12
Primary contact name DERINDA GEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERINDA GEE
PRESIDENT
5170 COLLINS RD APT 206
JACKSONVILLE FL 32244

Officer/Director/Trustee Two

BRENDA GEE
VICE PRESIDENT
5170 COLLINS RD APT 206
JACKSONVILLE FL 32244

Officer/Director/Trustee Three

DARLENE RUSSELL
BOARD MEMBER
5170 COLLINS RD APT 205
JACKSONVILLE FL 32244

Officer/Director/Trustee Four

SILVIERE BUTLER
BOARD OF DIRECTOR
6500 LAKE GRAY BLVD APT 612
JACKSONVILLE FL 32244

Organization’s website
Organization’s email INCSERENITYINTERNATIONAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 DERINDA GEE
Signature Title PRESIDENT
Signature Date 7/31/2020

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