FORM 1023-EZ for SERENITY HOUSE MINISTRIES INC

Field Data
EIN 81-4663625
Case Number EO-2016349-000399
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERENITY HOUSE MINISTRIES INC
Organization’s Mailing Address 1648 SKYVIEW DRIVE
City BRANSON
State MO
ZIP 65616
Accounting period End 12
Primary contact name DAUNIS K BETHKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAUNIS BETHKE
PRESIDENT TRUSTEE
1648 SKYVIEW DR
BRANSON MO 65616

Officer/Director/Trustee Two

WILLIAM BETHKE
TRUSTEE
1648 SKYVIEW DRIVE
BRANSON MO 65616

Officer/Director/Trustee Three

KIMBERLY PALADE
SECRETARY TREASURER TRUSTEE
4738 S ROBBERSON AVE APT D-206
SPRINGFIELD MO 65810

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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