FORM 1023-EZ for CHILDRENS REHABILITATION CENTER

Field Data
EIN 46-3789527
Case Number EO-2015141-000332
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHILDRENS REHABILITATION CENTER
Organization’s Mailing Address 1647 RUBY ROAD
City HARTSVILLE
State SC
ZIP 29550-2407
Accounting period End 12
Primary contact name MELISSA SHUMATE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA SHUMATE
PRESIDENT TREASURER
1647 RUBY ROAD
HARTSVILLE SC 29550-2407

Officer/Director/Trustee Two

CRAIG SHUMATE
SECRETARY
1647 RUBY ROAD
HARSTVILLE SC 29550-2407

Officer/Director/Trustee Three

HEATHER BELL
DIRECTOR
3715 WESTBROOK DRIVE
FLORENCE SC 29501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2013
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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