FORM 1023-EZ for MONTGOMERY COUNTY DIVORCE ROUNDTABLE INC

Field Data
EIN 52-2339440
Case Number EO-2016130-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTGOMERY COUNTY DIVORCE ROUNDTABLE INC
Organization’s Mailing Address 684 CONCERTO LANE
City SILVER SPRING
State MD
ZIP 20901
Accounting period End 6
Primary contact name ANNE LAPIANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIMMY VENZA
PRESIDENT
12301 ACADEMY WAY
ROCKVILLE MD 20852

Officer/Director/Trustee Two

JANA SINGER
VICE PRESIDENT (PRESIDENT ELECT)
500 W BALTIMORE ST
BALTIMORE MD 21201

Officer/Director/Trustee Three

DEBORA MAY
TREASURER
4840 CORDELL AVENUE
BETHESDA MD 20814

Officer/Director/Trustee Four

SARAH NOVAK NESBITT
SECRETARY
7120 MINSTREL WAY SUITE 202
COLUMBIA MD 21045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2001
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W03 - Professional Societies, Associations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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