FORM 1023-EZ for BUTTERFLY KISSES FOUNDATION

Field Data
EIN 81-4747680
Case Number EO-2016363-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUTTERFLY KISSES FOUNDATION
Organization’s Mailing Address 710 SOUTH MYRTLE AVENUE SUITE 608
City MONROVIA
State CA
ZIP 91016
Accounting period End 12
Primary contact name KELLY QUEZADA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY QUEZADA
EXECUTIVE DIRECTOR
132 EAST SCENIC DRIVE
MONROVIA CA 91016-2251

Officer/Director/Trustee Two

KATHLEEN BUTLER
SECRETARY
13245 COPRA AVENUE
CHINO CA 91710

Officer/Director/Trustee Three

MONICA CAMPBELL
DIRECTOR OF FINANCE
26 MIGUEL ROAD
PASADENA CA 91105

Organization’s website WWW.BUTTERFLYKISSESFOUNDATION.COM
Organization’s email CARING@BUTTERFLYKISSESFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2016
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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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