FORM 1023-EZ for LITTLE HILLS YOUTH ARCHERY

Field Data
EIN 84-2398322
Case Number EO-2019238-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE HILLS YOUTH ARCHERY
Organization’s Mailing Address 20 KELSO DRIVE
City SAINT CHARLES
State MO
ZIP 63301-3253
Accounting period End 6
Primary contact name SHAWN SCHWARTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN SCHWARTZ
PRESIDENT
20 KELSO DRIVE
SAINT CHARLES MO 63301-3253

Officer/Director/Trustee Two

SCOTT HENSLEY
VICE PRESIDENT
1002 NORTH 5TH STREET
SAINT CHARLES MO 63301-1941

Officer/Director/Trustee Three

CHANDRA BRUSH
SECRETARY
2713 LA SIERRA DRIVE
SAINT CHARLES MO 63301-1391

Officer/Director/Trustee Four

SARAH OELKE
TREASURER
82 JANE DRIVE
SAINT PETERS MO 63376-2219

Organization’s website WWW.LHYARCHERY.COM
Organization’s email COORDINATOR@LITTLEHILLSYOUTHARCHERY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/18
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: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 SHAWN SCHWARTZ
Signature Title PRESIDENT
Signature Date 8/21/19

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