FORM 1023-EZ for ROOM 17 INC
| Field | Data |
|---|---|
| EIN | 83-4253088 |
| Case Number | EO-2019204-000258 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ROOM 17 INC |
| Organization’s Mailing Address | 5225 POOKS HILL RD 1123N |
| City | BETHESDA |
| State | MD |
| ZIP | 20814 |
| Accounting period End | 12 |
| Primary contact name | DARLA CARTER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DARLA CARTER
EXECUTIVE DIRECTOR AND PRESIDENT
5225 POOKS HILL RD 1123 N
BETHESDA MD 20814
Officer/Director/Trustee Two
DEBORAH WILLIAMS
SECRETARY
9900 WOODLAND DRIVE
SILVER SPRING MD 20902
Officer/Director/Trustee Three
LEAH RAYMOND
TREASURER
7200 E SPRING ST
LANDOVER MD 20785
Officer/Director/Trustee Four
SHARAN KOZA
BOARD OF DIRECTORS
392 PROSPECT BLVD
FREDERICK MD 21701-6469
| Organization’s website | WWW.ROOM17.ORG |
|---|---|
| Organization’s email | DCARTER@ROOM17.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/11/19 |
| Organization Incorporation State | MD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| 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 | Yes |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | Yes |
| 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 | DARLA CARTER |
| Signature Title | EXECUTIVE DIRECTOR AND PRESIDENT |
| Signature Date | 7/21/19 |
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