FORM 1023-EZ for SERENITY HILL INC

Field Data
EIN 81-5248229
Case Number EO-2019094-000414
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERENITY HILL INC
Organization’s Mailing Address 5413 OLD TEMPLE HILL RD
City TEMPLE HILLS
State MD
ZIP 20748
Accounting period End 12
Primary contact name DOROTHY FITZHUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOROTHY FITZHUGH
PRESIDENT
5413 OLD TEMPLE HILL ROAD
TEMPLE HILLS MD 20748

Officer/Director/Trustee Two

TIFFANEE PRICE
VICE PRESIDENT
9311 PELLA PLACE
CLINTON MD 20735

Officer/Director/Trustee Three

DOROTHY FITZHUGH
TREASURER
5413 OLD TEMPLE HILL ROAD
TEMPLE HILLS MD 20748

Officer/Director/Trustee Four

STEPHANIE BEST
SECRETARY
1300 MERCANTILE LANE
UPPER MARLBORO MD 20772

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/17
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 DOROTHY FITZHUGH
Signature Title TREASURER
Signature Date 4/2/19
EIN 81-5248229
Case Number EO-2017243-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERENITY HILLS
Organization’s Mailing Address 6805 DUNNINGAN DRIVE
City CLINTON
State MD
ZIP 20735
Accounting period End 12
Primary contact name KATHI MUHAMMAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE POPLAR
SECRETARY
8 MARYLAND PARK DRIVE
CAPITOL HEIGHTS MD 20743

Officer/Director/Trustee Two

KATHI MUHAMMAD
PRESIDENT
6805 DUNNIGAN DRIVE
CLINTON MD 20735

Officer/Director/Trustee Three

DENISE OLIPHANT
VICE PRESIDENT
6805 DUNNIGAN DRIVE
CLINTON MD 20735

Officer/Director/Trustee Four

TANJA DAVIDSON
TREASURER
6805 DUNNIGAN DRIVE
CLINTON MD 20735

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J30 - Vocational Rehabilitation
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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