FORM 1023-EZ for ROUND TABLE HAVEN INC

Field Data
EIN 47-3509202
Case Number EO-2015126-000192
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROUND TABLE HAVEN INC
Organization’s Mailing Address 7030 GORHAM LANE
City LA PLATA
State MD
ZIP 20646
Accounting period End 12
Primary contact name LEIGHE MESSICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEIGHA MESSICK
PRESIDENT
7030 GORHAM LANE
LA PLATA MD 20646

Officer/Director/Trustee Two

DEVEN RONEY
VICE PRESIDENT
14700 WOODVILLE ROAD
WALDORF MD 20601

Officer/Director/Trustee Three

LAUREN WEBB
SECRETARY
4182 EAST WILSON STREED
INDIAN HEAD MD 20640

Officer/Director/Trustee Four

GABRIELA ZABEL
TREASURER
4433 EAGLE COURT
WALDORF MD 20602

Officer/Director/Trustee Five

JENNIFER MARSH
BOARD MEMBER
10704 JACKSONHOLE PLACE
WHITE PLAINS MD 20695

Organization’s website WWW.ROUNDTABLEHAVEN.ORG
Organization’s email ROUNDTABLEHAVEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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
Signature Title
Signature Date

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