FORM 1023-EZ for SERENITY CLUB OF SPRINGFIELD INC

Field Data
EIN 42-2600646
Case Number EO-2019261-000073
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERENITY CLUB OF SPRINGFIELD INC
Organization’s Mailing Address 1606 WILBRAHAM ROAD
City SPRINGFIELD
State MA
ZIP 1119
Accounting period End 10
Primary contact name ALEX SEID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES CRUMP
PRESIDENT/DIRECTOR
39 KENWOOD TERRACE APT 4L
SPRINGFIELD MA 1108

Officer/Director/Trustee Two

CHERYL OSTROWSKI
TREASURER/DIRECTOR
220 ARTHUR STREET
SPRINGFIELD MA 1104

Officer/Director/Trustee Three

LAUNA TORRES
SECRETARY/DIRECTOR
32 THOMPSON STREET
EAST LONGMEADOW MA 1028

Officer/Director/Trustee Four

ALEX SEID
DIRECTOR
1606 WILBRAHAM ROAD
SPRINGFIELD MA 1119

Officer/Director/Trustee Five

ELAINE AWAND
DIRECTOR
683 TWO STATES ROAD
WEST SUFFIELD CT 6093

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/75
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ALEX SEID
Signature Title DIRECTOR
Signature Date 9/16/19

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