FORM 1023-EZ for BUTTERFLY SOULS YOUTH DEVELOPMENT

Field Data
EIN 80-0768197
Case Number EO-2015091-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUTTERFLY SOULS YOUTH DEVELOPMENT
Organization’s Mailing Address 901 FM 517 RD W APT 203
City DICKINSON
State TX
ZIP 77539
Accounting period End 12
Primary contact name DEENA THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEENA THOMAS
PRESIDENT, DIRECTOR
901 FM 517 RD W APT 203
DICKINSON TX 77539

Officer/Director/Trustee Two

LASUNDRA SCROGGINS
VICE PRESIDENT, DIRECTOR
9800 HOLLOCK APT 1309
HOUSTON TX 77075

Officer/Director/Trustee Three

KAREN VALENTINE
SECRETARY, DIRECTOR
12500 BARKER CYPRESS ST APT 8208
CYPRESS TX 77429

Officer/Director/Trustee Four

KIMBERLY THOMAS
TREASURER, DIRECTOR
7555 MEDICAL CENTER DR APT 12101
TEXAS CITY TX 77591

Organization’s website WWW.BSYDMENTORING.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2012
Organization Incorporation State TX
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: 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 Yes
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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