FORM 1023-EZ for SANDHILLS MEDIATION CENTER INC

Field Data
EIN 83-2494546
Case Number EO-2018319-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANDHILLS MEDIATION CENTER INC
Organization’s Mailing Address 135 CHESTERFIELD STREET
City AIKEN
State SC
ZIP 29801
Accounting period End 12
Primary contact name BRIAN KATONAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN KATONAK
PRESIDENT
805 BRANDY ROAD
AIKEN SC 29801

Officer/Director/Trustee Two

MARY CAMPBELL
SECRETARY
149 CHESTERFIELD STREET
AIKEN SC 29801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/18
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I18 -
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 BRIAN KATONAK
Signature Title PRESIDENT
Signature Date 11/13/18

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