FORM 1023-EZ for KING FARM NEIGHBORS VILLAGE INC

Field Data
EIN 82-1215572
Case Number EO-2017230-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KING FARM NEIGHBORS VILLAGE INC
Organization’s Mailing Address 300 SADDLE RIDGE CIRCLE
City ROCKVILLE
State MD
ZIP 20850
Accounting period End 12
Primary contact name ROBERT SILVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT SILVA
BOARD PRESIDENT
407 CROOKED CREEK DRIVE
ROCKVILLE MD 20850-5750

Officer/Director/Trustee Two

JACKIE SILBER
SECRETARY
300 KING FARM BLVD APT303
ROCKVILLE MD 20850

Officer/Director/Trustee Three

JAMES GRUEFF
BOARD MEMBER
530 LAWSON WAY
ROCKVILLE MD 20850

Officer/Director/Trustee Four

JUDY NINER
BOARD MEMBER
203 GAME CREEK DRIVE
ROCKVILLE MD 20850

Officer/Director/Trustee Five

LINDA GRABEL
BOARD MEMBER
300 CORK TREE LANE
ROCKVILLE MD 20850

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2017
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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
Signature Title
Signature Date

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