FORM 1023-EZ for ILLINOIS INTRUDERS

Field Data
EIN 47-2714363
Case Number EO-2017279-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ILLINOIS INTRUDERS
Organization’s Mailing Address 22217 KOSTNER AVE
City RICHTON PARK
State IL
ZIP 60471-4456
Accounting period End 12
Primary contact name ANTONIO JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTONIO JONES
PRESIDENT
22217 KOSTNER AVE
RICHTON PARK IL 60471-4456

Officer/Director/Trustee Two

EMORY ERWIN
DIRECTOR
4550 COLUMBINE LN
MATTESON IL 60443-1700

Officer/Director/Trustee Three

DONAVAN BURGS
DIRECTOR
3719 216TH PL APT1
MATTESON IL 60443-3709

Officer/Director/Trustee Four

DERYL BOLTON
DIRECTOR
1008 BERKSHIRE DR
MATTESON IL 60443-2285

Officer/Director/Trustee Five

KEITH EVANS
DIRECTOR
4345 206TH ST
MATTESON IL 60443-1727

Organization’s website ILLINOISINTRUDERS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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