FORM 1023-EZ for THE SERENDIPITY HOUSE

Field Data
EIN 87-2694748
Case Number EO-2021263-000686
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SERENDIPITY HOUSE
Organization’s Mailing Address 2834 UPTON STREET SOUTH
City GULFPORT
State FL
ZIP 33711
Accounting period End 12
Primary contact name NANCY LAMBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY LAMBERT
OFFICER
2834 UPTON STREET SOUTH
GULFPORT FL 33711

Officer/Director/Trustee Two

RYAN LEBEN
DIRECTOR
8211 POTOMAC LANE
NAPLES FL 34104

Officer/Director/Trustee Three

JANINE DUFFY
DIRECTOR
215 CENTRAL AVENUE APT 2B
ST PETERSBURG FL 33701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
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 Yes
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 NANCY LAMBERT
Signature Title OFFICER
Signature Date 9/17/2021

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