FORM 1023-EZ for MA RETHERS SENIOR SERVICES INC

Field Data
EIN 83-2150645
Case Number EO-2018284-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MA RETHERS SENIOR SERVICES INC
Organization’s Mailing Address 1224 N 31ST AVENUE
City HOLLYWOOD
State FL
ZIP 33021
Accounting period End 12
Primary contact name VERENDA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERENDA BROWN
PRESIDENT
1224 N 31ST AVENUE
HOLLYWOOD FL 33021

Officer/Director/Trustee Two

PAULA HAWKES
TREASURER
398 EAST
DANIA BEACH FL 33004

Officer/Director/Trustee Three

AMETEEN CLAY
SECRETARY
1651 NW 56TH TERRACE
FORT LAUDERDALE FL 33313

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social 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 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 VERENDA BROWN
Signature Title PRESIDENT
Signature Date 10/9/18

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