FORM 1023-EZ for WINGS OF THE FUTURE BUTTERFLY AND WILDLIFE SANCTUARY

Field Data
EIN 83-0887263
Case Number EO-2018227-000193
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WINGS OF THE FUTURE BUTTERFLY AND WILDLIFE SANCTUARY
Organization’s Mailing Address 11917 MARNE ROAD
City NEWARK
State OH
ZIP 43055
Accounting period End 12
Primary contact name KATINA WOODRUFF BORGERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS BORGERSEN
CEO, FINIANCAL
11917 MARNE ROAD
NEWARK OH 43055

Officer/Director/Trustee Two

KATINA WOODRUFF BORGERSEN
DIRECTOR, CHAIR OF THE BOARD
11917 MARNE ROAD
NEWARK OH 43055

Officer/Director/Trustee Three

DALE WOODRUFF JR
DIRECTOR, BUTTERFLY RELEASE EVENTS
955 SOUTH LUDLOW RD
URBANA OH 43078-8724

Officer/Director/Trustee Four

CONNIE PLATT
SECRETARY, BOARD MEMBER
854 WELLS ST
NEWARK OH 43055

Officer/Director/Trustee Five

GEORGE GARRISON
STATUTORY AGENT, BIRD HOUSE BUILDER
17 W JOHNSON ST
SPRINGFIELD OH 43055

Organization’s website
Organization’s email AUTHORKATINAWOODRUFFBORGERSEN@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
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 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 KATINA WOODRUFF BORGERSEN
Signature Title DIRECTOR, CHAIR OF THE BOARD
Signature Date 8/13/18

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