FORM 1023-EZ for SHOT BY SHOT

Field Data
EIN 84-2573357
Case Number EO-2019220-000065
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHOT BY SHOT
Organization’s Mailing Address 8501 BARGAMIN DR
City AUSTIN
State TX
ZIP 78736
Accounting period End 12
Primary contact name SEBASTIAN B REYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEBASTIAN REYES
DIRECTOR
8501 BARGAMIN DR
AUSTIN TX 78736

Officer/Director/Trustee Two

JARED STULTS
DIRECTOR
2513 NIEMANN DR
AUSTIN TX 78748

Officer/Director/Trustee Three

NICK PLEVICH
DIRECTOR
7117 WOOD HOLLOW DR
AUSTIN TX 78731

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
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 SEBASTIAN REYES
Signature Title DIRECTOR
Signature Date 8/6/19

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