FORM 1023-EZ for SERENITY HALL DBA SOUTHBRIDGE ALANOCLUB

Field Data
EIN 82-1188171
Case Number EO-2017109-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERENITY HALL DBA SOUTHBRIDGE ALANOCLUB
Organization’s Mailing Address 113 BRENTWOOD DRIVE
City SOUTHBRIDGE
State MA
ZIP 01550-2705
Accounting period End 12
Primary contact name ERIC M JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC JONES
PRESIDENT
113 BRENTWOOD DRIVE
SOUTHBRIDGE MA 01550-2705

Officer/Director/Trustee Two

DAN ARSENAULT
VICE-PRESIDENT
33 L STEVENS RD
CHARLTON MA 01507

Officer/Director/Trustee Three

LEO MAHALARIS
TREASURER
764 CHARLTON ST
SOUTHBRIDGE MA 01550

Officer/Director/Trustee Four

GLADYS PROPER
DIRECTOR
711 MAIN ST
SOUTHBRIDGE MA 01550

Officer/Director/Trustee Five

PAUL HAINSWORTH
DIRECTOR
18 HIGHRIDGE AVE
SOUTHBRIDGE MA 01550

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: Yes
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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