FORM 1023-EZ for SERENITY RECOVERY OF WESTERN KENTUCKY INC

Field Data
EIN 84-1994814
Case Number EO-2020226-000123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERENITY RECOVERY OF WESTERN KENTUCKY INC
Organization’s Mailing Address 1621 HIGHWAY 121 N UNIT E
City MURRAY
State KY
ZIP 42071
Accounting period End 12
Primary contact name SARAH JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK HURT
PRESIDENT
911 SYCAMORE ST
MURRRAY KY 42071

Officer/Director/Trustee Two

MARIAN COSGROVE
TREASURER
4100 ROWLETT TRAIL
MURRAY KY 42071

Officer/Director/Trustee Three

HOLLY CHERRY
SECRETARY
459 KNIGHT ROAD
MURRAY KY 42071

Officer/Director/Trustee Four

ADAM WILLIAMS
BOARD MEMBER
POB 168
HARDIN KY 42071

Officer/Director/Trustee Five

RYKER WILSON
BOARD MEMBER
1704 FARMER AVENUE
MURRAY KY 42071

Organization’s website
Organization’s email SERENITY.RECOVERY.WKY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2019
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HOLLY CHERRY
Signature Title SECRETARY
Signature Date 8/11/2020

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