FORM 1023-EZ for BUTTERFLY BLESSINGS

Field Data
EIN 86-3468670
Case Number EO-2021277-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUTTERFLY BLESSINGS
Organization’s Mailing Address 312 N JEFFERSON AVE
City COOKEVILLE
State TN
ZIP 38501
Accounting period End 5
Primary contact name PAMELA RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA RUSSELL
PRESIDENT
312 N JEFFERSON AVE
COOKEVILLE TN 38501

Officer/Director/Trustee Two

LASONYA WALKER
VICE PRESIDENT
1722 SHANE DR
SPRING HILL TN 38501

Officer/Director/Trustee Three

ANGEL WINGERT
TREASURE
1791 LEE AVE APT 12
COOKEVILLE TN 38501

Officer/Director/Trustee Four

KAREN MCNAIR
2ND VICE PRESIDENT
5236 BOJANGLES LANE
EVANSVILLE, IN 47715

Organization’s website
Organization’s email BUTTERFLYBLESSING658@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2021
Organization Incorporation State TN
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 Yes
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 No
Signature Name PAMELA RUSSELL
Signature Title PRESIDENT
Signature Date 9/30/2021

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