FORM 1023-EZ for GT BUTTERFLY CHARITIES

Field Data
EIN 83-3437836
Case Number EO-2019074-000730
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GT BUTTERFLY CHARITIES
Organization’s Mailing Address 8840 M 72 EAST
City WILLIAMSBURG
State MI
ZIP 49690
Accounting period End 12
Primary contact name CYNTHIA ROACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RIC EVANS
PRESIDENT
8840 M 72 EAST
WILLIAMSBURG MI 49690

Officer/Director/Trustee Two

TODD VANSICKLE
TREASURER
8840 M 72 EAST
WILLIAMSBURG MI 49690

Officer/Director/Trustee Three

TERRY BERTRAND
SECRETARY
8840 M 72 EAST
WILLIAMSBURG MI 49690

Officer/Director/Trustee Four

CYNTHIA BOBIER-ROACH
DIRECTOR
8840 M 72 EAST
WILLIAMSBURG MI 49690

Organization’s website TBD
Organization’s email INFO@GTBUTTERFLYZOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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 CYNTHIA BOBIER-ROACH
Signature Title DIRECTOR
Signature Date 3/13/19

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