FORM 1023-EZ for SERENITY VESSEL INC

Field Data
EIN 82-3544002
Case Number EO-2019035-000125
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERENITY VESSEL INC
Organization’s Mailing Address 2314 ROUTE 59 SUITE 134
City PLAINFIELD
State IL
ZIP 60586
Accounting period End 6
Primary contact name GIOVANNI RANDLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATOYA HARRISON
TREASURER / CHAIRPERSON
18514 BELLAMY RD
CNTRY CLB HLS IL 60478

Officer/Director/Trustee Two

TONYA MCCRARY
BOARD MEMBER
1809 NICHOLSON ST
CRESTHILL IL 60403

Officer/Director/Trustee Three

GIOVANNI RANDLE
CHIEF EXECUTIVE OFFICER
1210 ALENE DR
PLAINFIELD IL 60586

Organization’s website
Organization’s email GRANDLE@SERENITYVESSEL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/17
Organization Incorporation State IL
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: Yes
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 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 GIOVANNI RANDLE
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 1/12/19

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