FORM 1023-EZ for SERENITY SERVES THE INSTITUTE OF SOLUTIONS

Field Data
EIN 84-3401728
Case Number EO-2019311-000124
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERENITY SERVES THE INSTITUTE OF SOLUTIONS
Organization’s Mailing Address 50 ROLLING ACRES LN STE 104
City LAWRENCEVILLE
State PA
ZIP 16929
Accounting period End 12
Primary contact name LEVI S HATCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYN LANFRIED
PRESIDENT
50 ROLLING ACRES LN STE 104
LAWRENCEVILLE PA 16929

Officer/Director/Trustee Two

KENNETH LEWIS
SECRETARY
50 ROLLING ACRES LN STE 104
LAWRENCEVILLE PA 16929

Officer/Director/Trustee Three

BRUCE MOSHIER
DIRECTOR
50 ROLLING ACRES LN STE 104
LAWRENCEVILLE PA 16929

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 BRYN LANFRIED
Signature Title PRESIDENT
Signature Date 11/5/19

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