FORM 1023-EZ for CARRIE ME TO SERENITY

Field Data
EIN 82-1220042
Case Number EO-2017165-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARRIE ME TO SERENITY
Organization’s Mailing Address 13205 COURT RIDGE RD
City MIDLOTHIAN
State VA
ZIP 23112
Accounting period End 12
Primary contact name SHERRI WEAVER RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERRI WEAVER RUSSELL
PRESIDENT
13205 COURT RIDGE ROAD
MIDLOTHIAN VA 23112

Officer/Director/Trustee Two

KIM JORDAN LANE
VICE PRESIDENT
409 KIESEE DRIVE
GREENVILLE NC 27834

Officer/Director/Trustee Three

SHANTELL HOLIDAY
TREASURER
5940 ALMOND TREE TERRACE
HENRICO VA 23231

Officer/Director/Trustee Four

YVETTE THOMAS
SECRETARY
3785 GRAYS LANE
GOOCHLAND VA 23603

Organization’s website
Organization’s email CARRIEME2SERENITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 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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