FORM 1023-EZ for SERENITY SAFE-HAVEN INC
| Field | Data |
|---|---|
| EIN | 85-1925132 |
| Case Number | EO-2021047-000020 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SERENITY SAFE-HAVEN INC |
| Organization’s Mailing Address | 1319 MCFERRAN STREET |
| City | PHILADELPHIA |
| State | PA |
| ZIP | 19140 |
| Accounting period End | 12 |
| Primary contact name | TANYA BLAND |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TANYA BLAND
FOUNDER AND BOARD PRESIDENT
1319 MCFERRAN STREET
PHILADELPHIA PA 19140
Officer/Director/Trustee Two
YAHFETAH BARNES
BOARD OF DIRECTOR
858 NORTH 46TH STREET
PHILADELPHIA PA 19139
Officer/Director/Trustee Three
JARETTA QUIDACHAY
BOARD OF DIRECTOR
6810 PASCHALL AVENUE
PHILADELPHIA PA 19143
Officer/Director/Trustee Four
LARRY WORSLEY
BOARD OF DIRECTOR
658 LINDBERGH DR NE UNIT 1143
ATLANTA GA 30324
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/16/2020 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Z99 - Unclassified |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes 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 | No |
| 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 | TANYA BLAND |
| Signature Title | FOUNDER AND BOARD PRESIDENT |
| Signature Date | 12/18/2020 |
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