FORM 1023-EZ for SERENITY TOTAL CARE

Field Data
EIN 83-1196307
Case Number EO-2018214-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERENITY TOTAL CARE
Organization’s Mailing Address PO BOX 4094
City GREENSBORO
State NC
ZIP 27404
Accounting period End 12
Primary contact name JAMES WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWANA TORRENCE
INCORPORATOR
2216 WEST MEADOWVIEW ROAD SUITE 201
GREENSBORO NC 27407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 SHAWANA TORRENCE
Signature Title INCORPORATOR
Signature Date 7/31/18

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