FORM 1023-EZ for BUTTERFLIES FOR LIFE INC

Field Data
EIN 87-2126217
Case Number EO-2021259-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUTTERFLIES FOR LIFE INC
Organization’s Mailing Address 6740 17TH STREET NORTH
City SAINT PETERSBURG
State FL
ZIP 33702
Accounting period End 12
Primary contact name SAMANTHA CHECHELE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAMZY ANDARY
PRESIDENT
6740 17TH STREET NORTH
ST PETERSBURG FL 33702

Officer/Director/Trustee Two

LAWRENCE WESTCOTT
DIRECTOR
7111 3RD STREET NORTH
ST PETERSBURG FL 33702

Officer/Director/Trustee Three

LISA SANSOME
DIRECTOR
327 S WESTGATE AVENUE
COLUMBUS OH 43204

Officer/Director/Trustee Four

SCOTT LINDINGER
DIRECTOR
1635 17TH AVENUE NORTH APT C
ST PETERSBURG FL 33713

Officer/Director/Trustee Five

STACI COLBURN
DIRECTOR
5643 18TH AVENUE NORTH
ST PETERSBURG FL 33710

Organization’s website BUTTERFLIESFORLIFE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 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 RAMZY ANDARY
Signature Title PRESIDENT
Signature Date 9/14/2021

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