FORM 1023-EZ for LITTLESHOTS INC

Field Data
EIN 47-5371899
Case Number EO-2015313-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LITTLESHOTS INC
Organization’s Mailing Address 915 E SUNHILL DRIVE
City LAWRENCEVILLE
State GA
ZIP 30043
Accounting period End 12
Primary contact name TONY LANIEWICZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TONY LANIEWICZ
PRESIDENT
915 SUNHILL DR
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Two

ASHLEY MONTGOMERY
SECRETARY
915 SUNHILL DR
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Three

BILL BROOKINS
TREASURER
49 RUSSELL ROAD
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Four

SCOTT SAEMISCH
CHAIRMAN
2171 CAMMIE WAGES ROAD
DACULA GA 30019

Officer/Director/Trustee Five

STAN BUICE
DIRECTOR
5116 BRISTOL INDUSTRIAL WAY
BUFORD GA 30518

Organization’s website LITTLESHOTS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2015
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
Signature Title
Signature Date

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