FORM 1023-EZ for SERENITY ACRES FARM INC

Field Data
EIN 82-2768264
Case Number EO-2017275-000691
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERENITY ACRES FARM INC
Organization’s Mailing Address 3988 FLYNTDALE ROAD
City WINSTON SALEM
State NC
ZIP 27106
Accounting period End 12
Primary contact name ELIZABETH ASHBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH ASHBY
DIRECTOR
3988 FLYNTDALE ROAD
WINSTON SALEM NC 27106

Officer/Director/Trustee Two

MICHELLE RAVISH
TREASURER
1190 NORWOOD LANE
LEWISVILLE NC 27023

Officer/Director/Trustee Three

JOE SCHMITZ
CHAIRPERSON
3962 FLYNTDALE ROAD
WINSTON SALEM NC 27106

Officer/Director/Trustee Four

JOHN BOST
OFFICER
6600 VILLAGE BROOK TRAIL
CLEMMONS NC 27012

Officer/Director/Trustee Five

LISA HATHAWAY
OFFICER
706 GREENWAY DRIVE
LEXINGTON NC 27292

Organization’s website SERENITYACRESFARMNC.COM
Organization’s email DRLIZ4KIDS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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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