Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 65,507 | 65,507 | ||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 3,792 | 3,792 | ||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 0 | 0 | 0 | 0 | 69,299 | 69,299 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | 69,299 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 0 | 0 | 0 | 0 | 69,299 | 69,299 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 37 | 37 | ||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 0 | 0 | 0 | 0 | 37 | 37 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 0 | 0 | 0 | 0 | 69,336 | 69,336 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part III, Line 1 | The return was amended to reflect the accurate figure. |
| Schedule A, Part III, Line 2 | The return was amended to reflect the accurate figure for program service revenue (previously classified in "other income"). |
| Schedule A, Part III, Line 10a | The return was amended to reflect the accurate figure. |
| Schedule A, Part III, Line 12 | The return was amended to remove the figure in "other" as it was entered as program service revenue for accuracy. |
| Software ID: | 17005980 |
| Software Version: | v1.00 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Header, Line B | As instructed by IRS Tax Exempt and Government Entities Customer Account Services, the "Name change" box was unchecked for this amended return as the name change initiated with the original 2017 return has already been registered and processed with the IRS. This return was amended for several reasons, which are described throughout the return with per-line-item details in their respective explanatory fields, or in Schedule O. |
| Form 990, Header, Line C | As instructed by IRS Tax Exempt and Government Entities Customer Account Services, the return was amended to reflect the organization's current address at the time of filing the amended return as this is the current address on file with the IRS. |
| Form 990, Header, Line E | The return was amended to provide the correct phone number for the organization. |
| Form 990, Header, Line F | As instructed by IRS Tax Exempt and Government Entities Customer Account Services, the return was amended to reflect the organization's current address at the time of filing the amended return as this is the current address on file with the IRS. |
| Form 990, Part I, Line 1 | The return was amended to more accurately state the most significant activities and mission of the organization. |
| Form 990, Part III, Line 1 | The return was amended to more accurately state the mission of the organization. |
| Form 990, Part III, Line 4a | The return was amended to accurately reflect the per-program expenses and revenue. |
| Form 990, Part III, Line 4b | The return was amended to accurately reflect the per-program expenses and revenue. |
| Form 990, Part VI, Section B, Line 11b | A digital copy of the Form 990 was provided to all board members for review prior to filing. |
| Form 990, Part VI, Section B, Line 12b | The return was amended to reflect the disclosure requirements. |
| Form 990, Part VI, Section B, Line 12c | The Conflict of Interest policy is signed by all officers and directors when they are brought on board and are kept on file in the organization's records. Please note that the return was amended to reflect this process. |
| Form 990, Part VI, Section B, Line 14 | The return was amended to reflect the existence of a document retention and destruction policy. |
| Form 990, Part VI, Section B, Line 15 | While the organization had no paid employees or positions, it does have a process in place for determining compensation of the top management official and other officers or key employees. The board would collectively approve compensation, taking into consideration industry averages for the roles, as well as the organization's financial status, as dictated by the board's fiscal responsibility to the organization. Please note that the return was amended to reflect the existence of this process. |
| Form 990, Part VI, Section C, Line 19 | Governing documents are available upon request. |
| Form 990, Part VI, Section C, Line 20 | The return was amended to provide the correct phone number. |
| Form 990, Part VII, Section A, Line 1a | Please note this return was previously amended from the original to reflect the accurate number of hours per week for President & CEO Emily Moran Barwick. This return retains the value of the initial amending. |
| Form 990, Part VIII, Line 1f | The return was amended to reflect the accurate figure. |
| Form 990, Part VIII, Line 2a - 2e | The return was amended to reflect the accurate figures and descriptions of program service revenue. |
| Form 990, Part VIII, Line 3 | The return was amended to reflect the accurate figure. |
| Form 990, Part IX, Line 11a | The return was amended to reflect the accurate figures and allocations. |
| Form 990, Part IX, Line 11b | The return was amended to reflect the accurate figures and allocations. |
| Form 990, Part IX, Line 11c | The return was amended to reflect the accurate figures and allocations. |
| Form 990, Part IX, Line 11g | Outside Services (independent contractors): Program Service Expenses: 5,650; Management & General: 150. Please note that the return was amended to reflect the accurate figures and allocations. |
| Form 990, Part IX, Line 12 | The return was amended to reflect the accurate figures and allocations. |
| Form 990, Part IX, Line 13 | The return was amended to reflect the accurate figures and allocations. |
| Form 990, Part IX, Line 14 | The return was amended to reflect the accurate figures and allocations. |
| Form 990, Part IX, Line 17 | The return was amended to reflect the accurate figures and allocations. |
| Form 990, Part IX, Line 22 | The return was amended to reflect the accurate figures and allocations. |
| Form 990, Part IX, Line 24a - 24d | The return was amended to reflect the accurate figures and allocations. |
| Form 990, Part X, Line 1 | The return was amended to reflect the accurate figures. |
| Form 990, Part X, Line 2 | The return was amended to reflect the accurate figures. |
| Form 990, Part X, Line 10a | The return was amended to reflect the accurate figures. |
| Form 990, Part X, Line 10b | The return was amended to reflect the accurate figures. |
| Form 990, Part X, Line 10c | The return was amended to reflect the accurate figures. |
| Form 990, Part X, Line 22 | The return was amended to reflect the accurate figures as amended on Part II of Schedule L. |
| Form 990, Part X, Line 27 | The return was amended to accurately reflect that the organization followed SFAS 117 (ASC 958). |
| Form 990, Part XII, Line 1 | The return was amended to accurately reflect that the organization used a Modified Cash Basis of accounting. |
| Software ID: | 17005980 |
| Software Version: | v1.00 |