FORM 1023-EZ for EXTREME TRAINING ACADEMY INCORPORATED

Field Data
EIN 82-1585636
Case Number EO-2017142-000490
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EXTREME TRAINING ACADEMY INCORPORATED
Organization’s Mailing Address 817 COUNTRYFIELD
City O'FALLON
State MO
ZIP 63367
Accounting period End 12
Primary contact name CORNELL ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORNELL ROBINSON
PRESIDENT
817 COUNTRYFIELD DRIVE
O'FALLON MO 63367

Officer/Director/Trustee Two

CHIENYE ROBINSON
DIRECTOR
817 COUNTRYFIELD DRIVE
FERGUSON MO 63367

Officer/Director/Trustee Three

ANDRE COFFER
DIRECTOR
111 CHURCH STREET
FERGUSON MO 63135

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2017
Organization Incorporation State MO
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: 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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