FORM 1023-EZ for SERENITY PAWS ANIMAL RESCUE INC

Field Data
EIN 82-5265031
Case Number EO-2018141-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERENITY PAWS ANIMAL RESCUE INC
Organization’s Mailing Address 73 PAWNEE AVE
City OAKLAND
State NJ
ZIP 7436-3722
Accounting period End 12
Primary contact name JILL COLETTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL COLETTI
PRESIDENT
73 PAWNEE AVE
OAKLAND NJ 7436-3722

Officer/Director/Trustee Two

LYN MINERVINI
VICE PRESIDENT
32 GARRISON AVE
HASBROUCK HEIGHTS NJ 7604-2607

Officer/Director/Trustee Three

CHARLEE MINERVINI
SECRETARY
32 GARRISON AVE
HASBROUCK HEIGHTS NJ 7604-2607

Officer/Director/Trustee Four

EDDIE MIKA
BOARD MEMBER
106 LINCOLN AVE
WOODRIDGE NJ 7075-1100

Officer/Director/Trustee Five

REGINA RODRIGUEZ
BOARD MEMBER
58 7TH AVE
HAWTHORNE NJ 7506-1704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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 Yes
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 JILL COLETTI
Signature Title PRESIDENT
Signature Date 5/16/18

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