FORM 1023-EZ for SERENITY PLUS WORKSHOP

Field Data
EIN 47-3158770
Case Number EO-2015082-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERENITY PLUS WORKSHOP
Organization’s Mailing Address 1070 LUMEN RD NW
City MINERVA
State OH
ZIP 44657
Accounting period End 12
Primary contact name TERESA MORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERESA MORRIS
PRESIDENT
1070 LUMEN RD NW
MINERVA OH 44657

Officer/Director/Trustee Two

RONALD MAYLE
OFFICER
1150 DONCASTLE AVE NW
N CANTON OH 44720

Officer/Director/Trustee Three

ROBIN MCKEE
OFFICER
P O BOX 511
SMITHVILLE OH 44677-0511

Officer/Director/Trustee Four

ROBERT WHITCOMB
OFFICER
122 N MAIN STREET
WAYNESBURG OH 44688

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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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