FORM 1023-EZ for SERENITY RESTORATION SERVICES INC

Field Data
EIN 46-5760468
Case Number EO-2014246-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERENITY RESTORATION SERVICES INC
Organization’s Mailing Address 18901 SW 106 AVE SUITE 108
City MIAMI
State FL
ZIP 33157
Accounting period End 12
Primary contact name LUANN RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LUANN RODRIGUEZ
PRESIDENT
23821 SW 109 PLACE
HOMESTEAD FL 33032

Officer/Director/Trustee Two

HENRY RODRIGUEZ
VICE PRESIDENT
23821 SW 109 PLACE
HOMESTEAD FL 33032

Officer/Director/Trustee Three

MIGUEL LIRIANO
CHIEF FINANCIAL OFFICER
11057 SW 238 STREET
HOMESTEAD FL 33032

Officer/Director/Trustee Four

ANGELO LIRIANO
OFFICER
11815 SW 203 TERRACE
MIAMI FL 33177

Officer/Director/Trustee Five

LUZ LIRIANO
OFFICER
11815 SW 203 TERR
MIAMI FL 33177

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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