FORM 1023-EZ for THE BUTTERFLY CLUB INC

Field Data
EIN 45-5075094
Case Number EO-2015194-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BUTTERFLY CLUB INC
Organization’s Mailing Address 1231 E FRY BLVD
City SIERRA VISTA
State AZ
ZIP 85635
Accounting period End 3
Primary contact name WILMA MOSES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILMA MOSES
PRESIDENT
1208 CHANTILLY DR
SIERRA VISTA AZ 85635

Officer/Director/Trustee Two

BARBARA PIVARNIK
TREASURER
5065 CAMINO DE ARENA
SIERRA VISTA AZ 85635

Officer/Director/Trustee Three

PEGGY HEINRICH
VICE PRESIDENT
8338 W POCOHANTAS AVE
TAMPA FL 33615

Officer/Director/Trustee Four

RHONDA SCHAU
SECRETARY
1231 E FRY BLVD
SIERRA VISTA AZ 85635

Organization’s website WWW.THEBUTTERFLYCLUB.ME
Organization’s email THEBUTTERFLYCLUB@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2013
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative 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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