FORM 1023-EZ for JOSHUA BUTZKE MEMORIAL FOUNDATION INC

Field Data
EIN 82-4622156
Case Number EO-2018068-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOSHUA BUTZKE MEMORIAL FOUNDATION INC
Organization’s Mailing Address 1063 SAINT MARGARETS DRIVE
City ANNAPOLIS
State MD
ZIP 21409
Accounting period End 12
Primary contact name EVA BUTZKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD BUTZKE
DIRECTOR, PRESIDENT
90 BARRAUD DRIVE
PORT JEFFERSON STA NY 11776

Officer/Director/Trustee Two

LORRAINE BUTZKE
DIRECTOR, TREASURER
90 BARRAUD DRIVE
PORT JEFFERSON STA NY 11776

Officer/Director/Trustee Three

SAMANTHA BUTZKE
DIRECTOR
90 BARRAUD DRIVE
PORT JEFFERSON STA NY 11776

Officer/Director/Trustee Four

EVA BUTZKE WEIN
DIRECTOR, SECRETARY
1063 SAINT MARGARETS DRIVE
ANNAPOLIS MD 21409

Officer/Director/Trustee Five

JOSEPH MEYER
DIRECTOR
2400 24TH RD SOUTH APT 202
ARLINGTON VA 22206

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 EVA BUTZKE WEIN
Signature Title DIRECTOR, SECRETARY
Signature Date 3/7/18

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