FORM 1023-EZ for DANAS HOME OF SERENITY

Field Data
EIN 81-2762947
Case Number EO-2017279-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DANAS HOME OF SERENITY
Organization’s Mailing Address 304 LOWDERMILK STREET
City GREENSBORO
State NC
ZIP 27401
Accounting period End 12
Primary contact name DANA KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA KING
CHIEF EXECUTIVE OFFICER
304 LOWDERMILK STREET
GREENSBORO NC 27401

Officer/Director/Trustee Two

LETISHA BERNARD
DIRECTOR/TREASURE
1707 DILLON RD
GREENSBORO NC 27282

Officer/Director/Trustee Three

CANDACE HOPKINS
DIRECTOR/PRESIDENT
1639 MOINEAU LN
RALEIGH NC 27610

Officer/Director/Trustee Four

VALARIE BURNER
OFFICER-VICE PRESIDENT
3226 WOODLEA
GREENSBORO NC 27406

Officer/Director/Trustee Five

DETRICA WATKINS
DIRECTOR
5365 OAKLEY COMMONSBLVD
UNION CITY NC 30291

Organization’s website WWW.DANASHOMEOFSERENITY.ORG
Organization’s email DANASHOMEOFSERENITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 Yes
One Third Support Gifts No
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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