Application For Exemption - Secretary Of State

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State of South Carolina
Office of the Secretary of State
Mark Hammond
Public Charities Division
APPLICATION FOR EXEMPTION
Post Office Box 11350
Phone: (803) 734-1790
charities@sos.sc.gov
Columbia, SC 29211
Fax: (803) 734-1604
Check one:
[ ] Initial Registration
[ ] Renewal
End of Fiscal Year: ___________________
Employer’s Identification Number: ___ ___ -- ___ ___ ___ ___ ___ ___ ____
Registration Number: _________________
1.
Organization's Legal Name __________________________________________________________________________
Other Names Used _________________________________________________________________________________
2.
Contact Person’s Name ___________________________________ Title _____________________________________
Contact Person’s Mailing Address ____________________________________________________________________
City __________________________________ County ______________________ State _______ Zip _____________
Day Phone ( _____ )______________ Evening Phone ( ______ ) ________________ Fax ( ____ ) ________________
Contact Person’s E-mail __________________________________ Organization’s Web Site ______________________
3.
Organization’s Street Address ________________________________________________________________________
________________________________________________________________________________________________
City __________________________________ County _______________________ State _______ Zip _____________
4.
General purpose of the organization ___________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
5.
Basis for exemption according to the Solicitation of Charitable Funds Act of 1994, check ONE of the following:
_____ (1) Educational Institution
(Schools, colleges, universities, and the foundations of South Carolina colleges and universities)
_____ (2) Solicitation for the relief of a specified individual
_____ (3) Organizations which do not intend to solicit in excess of $20,000 in a calendar year and have a letter of tax
exemption from the IRS, if all of their functions including fundraising activities are conducted by persons
who are compensated no more than $500 annually for their services. (Please attach IRS tax letter.)
_____ (4) Organization which solicits exclusively from within its own membership, including utility cooperatives
_____ (5) Veterans organization which has a congressional charter
_____ (6) The State, its political subdivisions, and any agencies or departments thereof which are subject to the
disclosure provisions of the Freedom of Information Act
_____ (7) Organizations which do not intend to solicit more than $7,500 in a calendar year, regardless of whether or not
the solicitation is conducted by professionals
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