FORM 1023-EZ for THE SERENITY TEEN SCENE

Field Data
EIN 81-1507433
Case Number EO-2016251-000009
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SERENITY TEEN SCENE
Organization’s Mailing Address 22 BLANCHE CIRCLE
City TAFT
State TN
ZIP 38488
Accounting period End 12
Primary contact name MEREDITH MEDLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEREDITH MEDLEY
PRESIDENT
22 BLANCHE CIRCLE
TAFT TN 38488

Officer/Director/Trustee Two

DESTINY STANDRIDGE
SECRETARY
22 BLANCHE CIRCLE
TAFT TN 38488

Officer/Director/Trustee Three

HEATH THORSON
TREASURER
803 GILES DRIVE
HUNTSVILLE AL 35801

Officer/Director/Trustee Four

CASSANDRA WHITE
BOARD MEMBER
1020 20TH ST NE
PARIS TX 75460

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 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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