FORM 1023-EZ for SERENITYS PRAYER

Field Data
EIN 81-1442279
Case Number EO-2017150-000502
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERENITYS PRAYER
Organization’s Mailing Address 1403 SUMMIT STREET
City WHITE OAK
State PA
ZIP 15131
Accounting period End 12
Primary contact name QUINCY JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUINCY JENKINS
DIRECTOR
1403 SUMMIT STREET
WHITE OAK PA 15131

Officer/Director/Trustee Two

VIOLET SIMS
OFFICER
13531 SAINT CLAIR DRIVE
NORTH HUNTINGDON PA 15642

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P33 - Child Day Care
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 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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