FORM 1023-EZ for ROCKVILLE ROBOTICS INC

Field Data
EIN 82-1492333
Case Number EO-2017150-000454
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCKVILLE ROBOTICS INC
Organization’s Mailing Address 306 TREEMONT WAY
City ROCKVILLE
State MD
ZIP 20850
Accounting period End 6
Primary contact name JYOTI MEHTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PARVATHY SHIVARAMAKRISHNAN
PRESIDENT
14604 DEHAVEN CT
NORTH POTOMAC MD 20878

Officer/Director/Trustee Two

JYOTI MEHTA
SECRETARY
306 TREEMONT WAY
ROCKVILLE MD 20850

Officer/Director/Trustee Three

VIPUL BHATNAGAR
TREASURER
2509 MCCOMAS AVE
KENSINGTON MD 20895

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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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