FORM 1023-EZ for TABLETOP KNIGHTS

Field Data
EIN 83-1592300
Case Number EO-2018248-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TABLETOP KNIGHTS
Organization’s Mailing Address 12661 SHADY LANE
City PURCELLVILLE
State VA
ZIP 20132-1809
Accounting period End 6
Primary contact name JESIAH MCCANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESIAH MCCANN
PRESIDENT
12661 SHADY LANE
PURCELLVILLE VA 20132-1809

Officer/Director/Trustee Two

MATTHEW CEDERHOLM
TREASURER
8886 ENGLEWOOD FARMS DRIVE
MANASSAS VA 20112-5876

Officer/Director/Trustee Three

JUSTIN ADKINS
DIRECTOR
42527 HOLLYHOCK TERRACE
ASHBURN VA 20148-4820

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 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 JESIAH MCCANN
Signature Title PRESIDENT
Signature Date 9/3/18

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