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 |
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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.") . | 0 | 0 | 41,334 | 6,780 | 11,226 | 59,340 |
| 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 | 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 | 41,334 | 6,780 | 11,226 | 59,340 |
| 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.) | 59,340 | |||||
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 | 41,334 | 6,780 | 11,226 | 59,340 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | 0 | 99 | 0 | 0 | 99 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 0 | 0 | 99 | 0 | 0 | 99 |
| 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.) .. | 0 | 0 | 22,446 | 0 | 0 | 22,446 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 0 | 0 | 63,879 | 6,780 | 11,226 | 81,885 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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) |
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| 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. |
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| 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) |
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| 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. |
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|
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. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 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 |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part I, line 10 | | Activity:, Grantee Name:, Grantee Address:, Amount:, Relationship:| High School Senior Scholarship, GA Southern for Danielle Dekutowski, "GA Southern University", $1800.00, None| High School Senior Scholarship, University North Georgia Elizabeth, "University of North Carolina Raleigh, NC", $1800.00, None| High School Senior Scholarship, University of virginia Camryn Wolf, "University of Virginia", $2000.00, None| High School Senior Scholarship, University of Georgia Emilky Warsha, "University of Georgia Athens, GA", $2000.00, None| HOBYF - Hugh O-Brien Youth Foundation - tuition 3 students, HOBY, "Hugh. O'Brien Youth Foundation Newman, GA", $1050.00, None| Non Traditional Student Scholarship, Georgia State University, "Perimeter Campus Dunwoody, GA", $1000.00, None| High School Senior Scholarship, Tallulah Falls School, "PO Box 10 Tallulah Falls, GS", $500.00, None| Disaster Relief Funds, State of South Carolina, "Columbia, SC", $500.00, None| Special Donation, Stage Door Players, "Chamblee Dunwoody Rd Dunwoody, GA", $500.00, None| Special Donation, Children Healthcare of Atlanta, "Atlanta, GA", $250.00, None| Awards for Art and Poetery, GFWC Georgia, "PO Box 39 Tallulah Falls, GA 30573", $1185.00, None| Required GFWC Dues, GFWC Georgia, "PO Box 39 Tallulah Falls, GA", $2600.00, None| Membership Fees, Conservation Organizations, "PO Box 29189 Atlanta, GA 30359", $1200.00, None| Memberships, National Parks, "1300 19th ST Suite 300 Washington, DC 20005", $200.00, None| Arts, Music, Education Programs, Austin Elementary, "5435 Roberts Drive Dunwoody, GA 30338", $250.00, None| Arts, Music and Education Programs, Chesnut Elementary, "4576 N Peachtree Rd Dunwoody, GA 30338", $250.00, None| Arts, Music and Education program, Coralwood School, "2477 Coralwood Decatur, GA 30033", $250.00, None| Arts, Music, Education Programs, Dunwoody Elementary, "1923 Womack Rd Dunwoody, GA 30338", $250.00, None| Home Life Programs including Arts and Music, Hightower School, "4236 Tilly Mill RD Doraville, GA 30360", $2000.00, None| Conservation program, Audubon Society, "4055 Roswell Rd Atlanta, GA 30342", $100.00, None| Arts, Music, home, Life and Conservation Programs, Interfaith Outreach Home, "PO Box 48075 Doracille, GA 30061", $2000.00, None| home Life program, Special. Olympics, "4000 Technology Parkway Atlanta, GA 30340", $800.00, None| Home Life program, Saint Jude's Hospital, "200262 Danny Thomas Place Memphis, TN 38105", $200.00, None| Home Life program, Saint Luke's Presbyterian Church, "1978 Mt. Vernon Rd Dunwoody, GA", $1000.00, None| international Outreach, Bright Point for Children, "2872 Johnson Ferry Rd Atlanta, GA 30062", $1800.00, None| International Outreach, Friends of Refugees, "3895 Church St Clarkston, GA 30021", $1600.00, None| Home Life program, Adult Day of Dunwoody, "1 Dunwoody Park #123, Dunwoody, GA 30338", $200.00, None| Home Life Program, Alzheimer's Association, "1 Dunwoody Park #123, Dunwoody, GA 30338", $200.00, None| Home Life Program, American Diabetes- Camp scholarshi, "17 Executive Park Dr., N. E. Ste. 115, Atlanta, GA 30329", $200.00, None| Home Life Program, Camp Sunshine, "1850 Clairmaont Road, Decatur, Gta 30033", $1500.00, None| Home Life Program, Canine Assistants, "3160 Francis Road, Alpharetta, GA 30004", $200.00, None| Home Life Program, Community Assistance Center - Camp, "1130 Hightower Trail, Sandy Springs, GA 30352", $200.00, None| Home Life Program, Easter Seals, "53 Perimeter Center East Ste. 550 Atlanta, GA 30319", $200.00, None| Home Life Program, Lekotek of Georgia, Inc, "1955 Cliff Valley Way, Ste. 102, Atlanta, GA 30329", $500.00, None| Home Life Program, Lutheran Towers - Items for gift b, "727 Juniper St NE 512, Atlanta, GA 30308", $250.00, None| Public Issues Program, Day League (DeKalb Ripe Crisis), "204 Church Street Decatur, GA 30030", $100.00, None| Public Issues Program, USO, "P.O. Box 96322 Washington D.C.20090-6322", $2000.00, None| Public Issues Program, Women's Ctr to End Domestice Vio, "PO Box 171 Decature, GA 30031", $1500.00, None| Public Issues Program, Girls Scouts of Greater Atlanta, "5601 North Allen Road SE, Mableton, GA 30126", $500.00, None| Public Issues Program, Murphy-Harpst Children's Center, "338 West Third Street Rome, GA 30165", $600.00, None| Arts Program, American Mural Project, "PO Box 538 100 Whiting Street, Winstead, CT 06098", $75.00, None| Arts Program, Oglethorpe University Museum of Ar, "4Lowry Hall, 3rd Floor, 4484 Peachtree Rd., N. E. Atlanta, GA 30319", $100.00, None| Arts Program, Dunwoody Nature Center -for art su, "5345 Roberts Dr., Dunwoody, GA 30338", $100.00, None| Conservation program, Brook Run Master Gardener Demo Ga, "PO Box 88535, Dunwoody, GA 30356", $200.00, None| Conservation Program, Lost Corner Gardens, "7300 Brandon Mill Road Sandy Springs, Georgia 30328", $300.00, None| Conservation Program, Harry Norman Realtors Recycling/Sh, "4848 Ashford Dunwoody Road Dunwoody, GA 30338", $100.00, None| Conservation Program, PAWS - DeKalb No Kill Animal Shelt, "5287 Covington Hwy Decatur, GA 30035", $200.00, None| Conservation Program, Trees Atlanta, "225 Chester Ave SE, Atlanta, GA 30316", $150.00, None| Education program, Children's Restoration Network, "Children's Restoration Network Roswell, GA", $480.00, None| Education Program, Community Assistance Center, "1130 Hightower Trail, Sandy Springs, GA 30352", $100.00, None| Education Program, DeKalb County Libraries, "951 N Indian Creek Drive Clarkston , GA 30021", $100.00, None| Education program, Margaret Harris Comprehensive Scho, "1634 Knob Hill Drive, NE Atlanta, GA 30329", $350.00, None| Public Issues Program, Dunwoody Police Department Expens, "41 Perimeter Center E #100 Dunwoody, GA 30346", $250.00, None| Public Issues Program, Georgia Center for Child Advocac, "1485B Woodland Ave. Atlanta, GA 30316", $450.00, None| Public Issues Program, Safe Kids of GA - Booster Seats,, "445 Winn Way , Box 987, Decatur, GA 30031", $300.00, None| Public Issues Program, Shepherd Spinal Center, "2020 Peachtree St NW, Atlanta, GA 30309", $350.00, None| Public Issues Program, USO, "P.O. Box 96322 Washington D.C.20090-6322", $600.00, None| Public Issues Program, Women's Ctr to End Domestice Vio, "PO Box 171 Decatur, GA 30031", $600.00, None| |
| Part I, line 16 | | Other Expenses:, Amount:| Room Rental for Monthly Meetings, $245.00| Treasurer's Expenses, $100.00| Magazine Subscriptions, $24.00| Membership Badges and Supplies, $327.00| Convention and Institute member Registrations, $955.00| Storage Facility, $950.00| Awards and Certificates, $166.00| Luncheon Expenses for Guest Speakers, $200.00| PO Box Rental, $134.00| Meeting Expenses for District meetings. 4 per year, $700.00| |
| Software ID: | |
| Software Version: |