FORM 1023-EZ for XTREME INTERVENTION SERVICES LTD

Field Data
EIN 85-2157271
Case Number EO-2021217-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name XTREME INTERVENTION SERVICES LTD
Organization’s Mailing Address 1840-46 SOUTH KEDZIE AVENUE
City CHICAGO
State IL
ZIP 60623
Accounting period End 12
Primary contact name ANNETTE BURTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNETTE BURTIN
PRESIDENT
2007 SOUTH 20TH AVENUE
BROADVIEW IL 60155

Officer/Director/Trustee Two

ALEXIS HARDY
SECRETARY
4241 WEST MONROE STREET
CHICAGO IL 60624

Officer/Director/Trustee Three

AURELIA DAVIS
TREASURER
1833 SOUTH TROY
CHICAGO IL 60623

Officer/Director/Trustee Four

MARK WRIGHT
DIRECTOR
2210 SOUTH 9TH AVENUE
BROADVIEW IL 60155

Organization’s website WWW.XTREMEINTERVENTION.COM
Organization’s email ABURTIN8@AMERITECH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2020
Organization Incorporation State IL
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: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 ANNETTE BURTIN
Signature Title PRESIDENT
Signature Date 8/3/2021

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