FORM 1023-EZ for SEREEN HAIR FOUNDATION INC

Field Data
EIN 84-4792334
Case Number EO-2020310-000392
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEREEN HAIR FOUNDATION INC
Organization’s Mailing Address 478 MAIN ST
City ISLIP
State NY
ZIP 11751
Accounting period End 12
Primary contact name NIKEYA S BURNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIKEYA BURNETT
DIRECTOR
478 MAIN ST
ISLIP NY 11751

Officer/Director/Trustee Two

AUDREY BURNETT
TRUSTEE
12 PERRY ST
BRENTWOOD NY 11717

Officer/Director/Trustee Three

KIMBERLY BURNETT
BOARD MEMBER
12 PERRY ST
BRENTWOOD NY 11717

Officer/Director/Trustee Four

LAUREN FOREMAN
BOARD MEMBER
9312 GEATON PARK PLACE
GLENARDEN MD 20706

Officer/Director/Trustee Five

LATOYA ARNOLD
BOARD MEMBER
31 E SEVENTH ST
DEER PARK NY 11729

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2020
Organization Incorporation State NY
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: 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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NIKEYA BURNETT
Signature Title DIRECTOR
Signature Date 11/3/2020

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