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.") .. | 114,521 | 515,088 | 211,143 | 470,452 | 104,649 | 1,415,853 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 114,521 | 515,088 | 211,143 | 470,452 | 104,649 | 1,415,853 |
| 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).. | 603,444 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 812,409 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 114,521 | 515,088 | 211,143 | 470,452 | 104,649 | 1,415,853 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 732 | 997 | 751 | 2,480 | ||
| 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.).. | 0 | |||||
| 11 | Total support. Add lines 7 through 10 | 1,418,333 | |||||
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.") . | ||||||
| 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 | ||||||
| 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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 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.).. | ||||||
| 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 |
|---|
| Software ID: | 19009920 |
| Software Version: | 2019v5.0 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Grants and Similar Amounts Paid In Excess of $5,000.1 | | Donee's Name: Portland Public Schools | Donee's Address: 501 N Dixon St Portland OR 97227 | Cash Amount Given: $12000 |
| Grants and Similar Amounts Paid In Excess of $5,000.2 | | Donee's Name: Friends of Bethany Hamilton, Inc | Donee's Address: PO Box 223663 Princeville HI 96722 | Cash Amount Given: $7052 |
| Grants and Similar Amounts Paid In Excess of $5,000.3 | | Donee's Name: Arbitrium CrossFit Bournemouth & Poole | Donee's Address: North Road Poole BH14 0LS United Kingdom | Cash Amount Given: $9000 |
| Grants and Similar Amounts Paid In Excess of $5,000.4 | | Donee's Name: Casa Colina for Rehab Services | Donee's Address: 255 E Bonita Ave Pomona CA 91769 | Cash Amount Given: $7500 |
| Grants and Similar Amounts Paid In Excess of $5,000.5 | | Donee's Name: Steve's Club National Program | Donee's Address: 7800 Airport Highway Pennsauken NJ 08109 | Cash Amount Given: $25000 |
| Grants and Similar Amounts Paid In Excess of $5,000.6 | | Donee's Name: FPSD Youth Fitness | Donee's Address: 1509 102nd Street South Tacoma WA 98444 | Cash Amount Given: $11343 |
| Grants and Similar Amounts Paid In Excess of $5,000.7 | | Donee's Name: Beaufort Elementary School | Donee's Address: 107 Safrit Dr Beaufort NC 28516 | Cash Amount Given: $8600 |
| Grants and Similar Amounts Paid In Excess of $5,000.8 | | Donee's Name: Cheltenham Township School District | Donee's Address: 2000 Ashbourne Rd Elkins Park PA 19027 | Cash Amount Given: $9100 |
| Grants and Similar Amounts Paid In Excess of $5,000.9 | | Donee's Name: Gravenhurst Public Schools | Donee's Address: 301 Mary St. South Gravenhurst Ontario P1P Canada | Cash Amount Given: $7300 |
| Grants and Similar Amounts Paid In Excess of $5,000.10 | | Donee's Name: Green Beret Project | Donee's Address: 140 Maffitt St Elkton MD 21921 | Cash Amount Given: $20000 |
| Grants and Similar Amounts Paid In Excess of $5,000.11 | | Donee's Name: Hanley International Academy | Donee's Address: 2400 Denton St Detroit MI 48212 | Cash Amount Given: $8100 |
| Grants and Similar Amounts Paid In Excess of $5,000.12 | | Donee's Name: Hartford School District | Donee's Address: 73 Highland Ave White River Jct VT 05001 | Cash Amount Given: $10000 |
| Grants and Similar Amounts Paid In Excess of $5,000.13 | | Donee's Name: Holy Comforter Episcopal School | Donee's Address: 2001 Fleischmann Rd Tallahassee FL 32308 | Cash Amount Given: $10000 |
| Grants and Similar Amounts Paid In Excess of $5,000.14 | | Donee's Name: LCA Foundation | Donee's Address: 2576 Bees Creek Rd Ridgeland SC 29936 | Cash Amount Given: $10000 |
| Grants and Similar Amounts Paid In Excess of $5,000.15 | | Donee's Name: Meridian Medical Arts High School | Donee's Address: 1789 E Heritage Park Ln Meridian ID 86346 | Cash Amount Given: $11100 |
| Grants and Similar Amounts Paid In Excess of $5,000.16 | | Donee's Name: Operation Surf | Donee's Address: PO Box 1581 San Luis Obispo CA 93406 | Cash Amount Given: $15000 |
| Grants and Similar Amounts Paid In Excess of $5,000.17 | | Donee's Name: Odessa Montour Central School District | Donee's Address: 300 College Ave Odessa NY 14869 | Cash Amount Given: $11100 |
| Grants and Similar Amounts Paid In Excess of $5,000.18 | | Donee's Name: Police Ahtletics for Community Engagemen | Donee's Address: PO Box 24251 Omaha NE 68124 | Cash Amount Given: $10000 |
| Grants and Similar Amounts Paid In Excess of $5,000.19 | | Donee's Name: Ray High School | Donee's Address: 901 Leopard St Corpus Christi TX 78403 | Cash Amount Given: $18000 |
| Grants and Similar Amounts Paid In Excess of $5,000.20 | | Donee's Name: Sacapoose School District J1 | Donee's Address: 33589 High School Way Sacappoose OR 97056 | Cash Amount Given: $9625 |
| Grants and Similar Amounts Paid In Excess of $5,000.21 | | Donee's Name: St. John the Evangelist School | Donee's Address: 5701 Locust Ave Carmichael CA 95608 | Cash Amount Given: $12965 |
| Grants and Similar Amounts Paid In Excess of $5,000.22 | | Donee's Name: The Crefeld School | Donee's Address: 8836 Crefeld St Philadelphia PA 19118 | Cash Amount Given: $7500 |
| Grants and Similar Amounts Paid In Excess of $5,000.23 | | Donee's Name: The Elizabethan Academy | Donee's Address: Hallcroft Rd Retford Nottinghamshire DN22 7PY United Kingdom | Cash Amount Given: $11700 |
| Grants and Similar Amounts Paid In Excess of $5,000.24 | | Donee's Name: The Redhill Academy | Donee's Address: Redhill Rd Arnold Nottingham NG5 8GX United Kingdom | Cash Amount Given: $16000 |
| Grants and Similar Amounts Paid In Excess of $5,000.25 | | Donee's Name: Volunteers in Medicine | Donee's Address: 777 Main St, Ste 4 Great Barrington MA 01230 | Cash Amount Given: $10000 |
| Grants and Similar Amounts Paid In Excess of $5,000.26 | | Donee's Name: West Linn-Wilsonville School District | Donee's Address: 2210 SW Stafford Rd Tualatin OR 97062 | Cash Amount Given: $6500 |
| Grants and Similar Amounts Paid In Excess of $5,000.27 | | Donee's Name: Wicklow County Council | Donee's Address: BOI Main St | Cash Amount Given: $16000 |
| Grants and Similar Amounts Paid In Excess of $5,000.28 | | Donee's Name: Dozier Elementary School | Donee's Address: PO Drawer 520 Abbeville LA 70511 | Cash Amount Given: $5400 |
| Other Expenses.1002 | Office Expenses $169 |
| Other Expenses.1005 | Travel $866 |
| Other Expenses.1007 | Conferences, Conventions, and Meetings $5269 |
| Other Expenses.1 | Bank Charges $1482 |
| Other Expenses.2 | Taxes & licenses $234 |
| Software ID: | 19009920 |
| Software Version: | 2019v5.0 |