FORM 1023-EZ for LEE COUNTY YOUTH SHOTGUN TEAM INC

Field Data
EIN 83-1096081
Case Number EO-2018186-000318
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEE COUNTY YOUTH SHOTGUN TEAM INC
Organization’s Mailing Address 138 W DOUBLEGATE DRIVE
City ALBANY
State GA
ZIP 31721
Accounting period End 12
Primary contact name BRIAN KEITH DEESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN KEITH DEESE
PRESIDENT/DIRECTOR
138 W DOUBLEGATE DRIVE
ALBANY GA 31721

Officer/Director/Trustee Two

MICHAEL SCOTT DAVIS
VICE PRESIDENT/DIRECTOR
101 WHITE HORSE
LEESBURG GA 31763

Officer/Director/Trustee Three

EUGENE WINGATE WEBB
SECRETARY/DIRECTOR
108 DUNDEE COURT
LEESBURG GA 31763

Officer/Director/Trustee Four

JAMES SCOTT TENNISON
TREASURE/DIRECTOR
177 CENTURY ROAD
LEESBURG GA 31763

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/18
Organization Incorporation State GA
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: 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 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 BRIAN KEITH DEESE
Signature Title PRESIDENT/DIRECTOR
Signature Date 7/2/18

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