FORM 1023-EZ for SERENITY OUTREACH CDC INC

Field Data
EIN 81-4380579
Case Number EO-2017163-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERENITY OUTREACH CDC INC
Organization’s Mailing Address 4846 SUN CITY CENTER BLVD SUITE 27
City RUSKIN
State FL
ZIP 33573
Accounting period End 11
Primary contact name TAMI ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARMAINE BURR
PRESIDENT
2405 NIGHTHAWK LANDING CT
RUSKIN FL 33570

Officer/Director/Trustee Two

TAMI ROBINSON
SECRETARY
2258 GOLDEN FALCON DR
RUSKIN FL 33570

Officer/Director/Trustee Three

IRIS THURMAN
TREASURER
2011 BALFOUR CIRCLE
TAMPA FL 33619

Organization’s website WWW.SERENITYFL.ORG
Organization’s email SHARMAINE@SERENITYFL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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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