0001181431-14-011544.txt : 20140307 0001181431-14-011544.hdr.sgml : 20140307 20140307142257 ACCESSION NUMBER: 0001181431-14-011544 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20140307 DATE AS OF CHANGE: 20140307 EFFECTIVENESS DATE: 20140307 FILER: COMPANY DATA: COMPANY CONFORMED NAME: GREAT SHOT LLC CENTRAL INDEX KEY: 0001601490 IRS NUMBER: 463824448 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-213147 FILM NUMBER: 14676489 BUSINESS ADDRESS: STREET 1: 100 TRI-STATE INTERNATIONAL DRIVE STREET 2: SUITE 128 CITY: LINCOLNSHIRE STATE: IL ZIP: 60069 BUSINESS PHONE: 8477966900 MAIL ADDRESS: STREET 1: 100 TRI-STATE INTERNATIONAL DRIVE STREET 2: SUITE 128 CITY: LINCOLNSHIRE STATE: IL ZIP: 60069 D 1 primary_doc.xml X0707 D LIVE 0001601490 GREAT SHOT LLC 100 Tri-State International Drive Suite 128 Lincolnshire IL ILLINOIS 60069 8477966900 ILLINOIS Great Shot Hole in One Insurance, LLC None Limited Liability Company true 2013 Aaron M. Zeid 100 Tri-State International Drive Suite 128 Lincolnshire IL ILLINOIS 60069 Executive Officer Promoter Michael Frazin 100 Tri-State International Drive Suite 128 Lincolnshire IL ILLINOIS 60069 Executive Officer Promoter Managing Member Alex Zeid 100 Tri-State International Drive Suite 128 Lincolnshire IL ILLINOIS 60069 Executive Officer Promoter Managing Member Scott Bauer 100 Tri-State International Drive Suite 128 Lincolnshire IL ILLINOIS 60069 Executive Officer Promoter Managing Member William Whitney 100 Tri-State International Drive Suite 128 Lincolnshire IL ILLINOIS 60069 Executive Officer Promoter Other Decline to Disclose 06c false 2014-02-10 false true false 5000 850000 690000 160000 false 23 0 0 0 true GREAT SHOT LLC /s/ Aaron M. Zeid Aaron M. Zeid Vice-President 2014-03-02