FORM 1023-EZ for SERENITY BY THE SEA VENTURA COUNTY AA ROUNDUP INC

Field Data
EIN 82-2652019
Case Number EO-2017300-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERENITY BY THE SEA VENTURA COUNTY AA ROUNDUP INC
Organization’s Mailing Address 3319 TELEGRAPH RD STE 205
City VENTURA
State CA
ZIP 93003-3320
Accounting period End 6
Primary contact name FRED PIERCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD WILSON
CEO/MANAGING DIRECTOR
1032 SONIA DR
OXNARD CA 93030-5095

Officer/Director/Trustee Two

NATASHA HART
SECRETARY/DIRECTOR
1032 SONIA DR
OXNARD CA 93030-5095

Officer/Director/Trustee Three

MEGAN GAINES
CFO/DIRECTOR
1032 SONIA DR
OXNARD CA 93030-5095

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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
Signature Title
Signature Date

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