FORM 1023-EZ for HOUSE OF SERENITY

Field Data
EIN 26-4111368
Case Number EO-2015049-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE OF SERENITY
Organization’s Mailing Address 2211 WEST MEADOWVIEW ROADSUITE 104
City GREENSBORO
State NC
ZIP 27407-3408
Accounting period End 12
Primary contact name TONYA CLINARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TONYA CLINARD
PRESIDENT
3 CORIANDER COURT
GREENSBORO NC 27406-9841

Officer/Director/Trustee Two

CLARENCE WALL
ADVISORY COORDINATOR
2402 LARKPUR
GREENSBORO NC 27405-5432

Officer/Director/Trustee Three

LAVONNE RUSSELL
TREASURER
408 CROYDON
GREENSBORO NC 27107-6810

Officer/Director/Trustee Four

GLORIA POOLE
SECRETARY
5515 BURLINGTON
GREENSBORO NC 27301-5432

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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