FORM 1023-EZ for SYRENITY HOUSE EMPOWERED

Field Data
EIN 82-0690061
Case Number EO-2017097-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SYRENITY HOUSE EMPOWERED
Organization’s Mailing Address 3917 MOHAWK CT
City CHARLOTTE
State NC
ZIP 28215
Accounting period End 12
Primary contact name SHARNELLA MCCRAE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARNELLA MCCRAE
DIRECTOR
3917 MOHAWK CT
CHARLOTTE NC 28215

Officer/Director/Trustee Two

LYNNIKA BYNUM-BUMPASS
ACCOUNTANT
1108 FERN
DURHAM NC 27701

Officer/Director/Trustee Three

KATHLEEN BELL
SECRETARY
811 BELVIN
DURHAM NC 27704

Organization’s website
Organization’s email SYRENITYHOUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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