FORM 1023-EZ for BLACKBELTS FOR BUTTERFLIES INC

Field Data
EIN 86-1571385
Case Number EO-2021256-000461
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACKBELTS FOR BUTTERFLIES INC
Organization’s Mailing Address 88 COPPERMILL ROAD
City WETHERSFIELD
State CT
ZIP 06109-4008
Accounting period End 12
Primary contact name LESLIE LEVIN ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD MCKEEGAN
PRESIDENT AND DIRECTOR
88 COPPERMILL ROAD
WETHERSFIELD CT 06109-4008

Officer/Director/Trustee Two

ANTHONY B GIOFFRE III
SECRETARY AND DIRECTOR
13 SUSAN LANE
NEWTOWN CT 06470

Officer/Director/Trustee Three

JOSIE PARUTA MCKEEGAN
TREASURER AND DIRECTOR
88 COPPERMILL ROAD
WETHERSFIELD CT 06109-4008

Officer/Director/Trustee Four

ROBERT DEFRANCO
DIRECTOR
349 MARIAH BAY DRIVE
HEATH TX 75032

Officer/Director/Trustee Five

JAMES FOSTER
DIRECTOR
13606 69TH AVE CT E
PUYALLUP WA 98373

Organization’s website BB4BF.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2020
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD MCKEEGAN
Signature Title PRESIDENT AND DIRECTOR
Signature Date 9/10/2021

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