FORM 1023-EZ for HOUSE OF SERENITY INC
| Field | Data |
|---|---|
| EIN | 47-3731609 |
| Case Number | EO-2020052-000253 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HOUSE OF SERENITY INC |
| Organization’s Mailing Address | 5016 RAPAHOE TRAIL |
| City | ATLANTA |
| State | GA |
| ZIP | 30349 |
| Accounting period End | 12 |
| Primary contact name | DELITTA SCOTT-DIXON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DELITTA SCOTT DIXON
EXECUTIVE DIRECTOR
5016 RAPAHOE TR
ATLANTA GA 30349
Officer/Director/Trustee Two
AMANDA FLOOD
TREASURER
526 IVEYS SCENIC DRIVE
ALBANY GA 31721
Officer/Director/Trustee Three
LESLIE FONEY
SECRETARY
2855 CAMELOT WOODS DRIVE
LAWRENCEVILLE GA 30044
Officer/Director/Trustee Four
KIZZY CHAMPION-MASSEY
DIRECTOR OF OPERATIONS
1973 WEDGEWOOD DRIVE
STONE MOUNTAIN GA 30088
Officer/Director/Trustee Five
RANDY PACE
OFFICER
6070 ROCK ELM RD
ATLANTA GA 30349
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/6/2015 |
| Organization Incorporation State | FL |
| 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: Yes Amateur Sports: No Cruelty Prevention: Yes |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| Donation of funds | Yes |
| 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | DELITTA SCOTT DIXON |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 2/19/2020 |
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