FORM 1023-EZ for CAMRYNS SERENITY FOUNDATION INC

Field Data
EIN 84-2875188
Case Number EO-2020115-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMRYNS SERENITY FOUNDATION INC
Organization’s Mailing Address PO BOX 117
City PFLUGERVILLE
State TX
ZIP 78691
Accounting period End 12
Primary contact name ELIZABETH J MONTOYA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARED BRUNO
DIRECTOR
PO BOX 117
PFLUGERVILLE TX 78691

Officer/Director/Trustee Two

KURK ANDERSON
DIRECTOR
3612 BREAN DOWN ROAD
PFLUGERVILLE TX 78660

Officer/Director/Trustee Three

CHRIS TEMPLETON
DIRECTOR
10116 MAGNOLIA RANCH CV
PFLUGERVILLE TX 78660

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L19 - Nonmonetary Support N.E.C.
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 CHRIS TEMPLETON
Signature Title DIRECTOR
Signature Date 4/22/2020

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