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 |
0 | |||||
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.") .. | 89,161 | 66,407 | 82,826 | 174,798 | 150,870 | 564,062 |
| 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 | 89,161 | 66,407 | 82,826 | 174,798 | 150,870 | 564,062 |
| 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).. | 0 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 564,062 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 89,161 | 66,407 | 82,826 | 174,798 | 150,870 | 564,062 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 56 | 33 | 33 | 42 | 164 | |
| 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.).. | 2,732 | 6,688 | 6,110 | 5,388 | 20,918 | |
| 11 | Total support. Add lines 7 through 10 | 585,144 | |||||
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.) | 0 | |||||
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 |
|---|---|
| Pt II Ln 10 | Other Income Part II, Line 10 Description: Processing fees 2015: 279. 2016: 29. 2018: 11. Description: Miscellaneous income 2015: 2453. 2016: 6659. 2017: 6110. 2018: 5377. |
| Software ID: | 19009670 |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990EZ, Part I, Line 8 | Mohawk Administrative Inc 5000. |
| Form 990EZ, Part I, Line 8 | Amazon Smile Income 13. |
| Form 990EZ, Part I, Line 8 | Other Income 94. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; AITT - Blast Meal Program: 535 East Boulevard, Chesterfield, SC, 29709; Unrelated, 2737. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Bread of Life Food Pantry: PO Box 1482, Bennettsville, SC, 29512; Unrelated, 5000. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Carefirst Medical Foundation: PO Box 909, Hartsville, SC, 29551; Unrelated, 4269. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; CHESCO Services: 960 Chesterfield Hwy, Cheraw, SC, 29520; Unrelated, 3221. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Chesterfield County Council on Aging: PO Box 45, Chesterfield, SC, 29709; Unrelated, 2738. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Chesterfield County Long Term Recovery: PO Box 648, Chesterfield, SC, 29709; Unrelated, 46962. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Chesterfield Family YMCA: 511 West Main Street, Chesterfield, SC, 29709; Unrelated, 500. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Chesterfield Marlboro Dillon Advisory Council: PO Box 1033, Bennettsville, SC, 29512; Unrelated, 3000. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Ebenezer UMC: PO Box 377, Wallace, SC, 29526; Unrelated, 5000. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Free Worship: 915 Chesterfield Highway, Cheraw, SC, 29520; Unrelated, 5000. |
| Form 990EZ, Part I, Line 10 | Community Development; Youth Development; Girl Scout of Eastern South Carolina: 2412 Pisgah Road, Florence , SC, 29501; Unrelated, 807. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Grace & Mercy Food Pantry: PO Box 1532, Bennettsville, SC, 29512; Unrelated, 5000. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Grace Temple: 3008 Highway 9 West, Wallace, SC, 29596; Unrelated, 5000. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Harvest Hope: 2513 W. Lucas Street, Florence, SC, 29501; Unrelated, 9284. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; HealthQuest of Union County: PO Box 366, McBee, SC, 29101; Unrelated, 745. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Hospice of Chesterfield County: PO Box 293, Chesterfield , SC, 29709; Unrelated, 2119. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Kershaw Area Resource Exchange: PO Box 364, Kershaw, SC, 29067; Unrelated, 4783. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Lions Club of Cheraw: 202 Poplar Street, Cheraw, SC, 29520; Unrelated, 5000. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Main St. UMC Hope House & Blitz Team: 210 North Main Street, McColl, SC, 29570; Unrelated, 5000. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Mercy in Me Free Medical Clinic: PO Box 505, Cheraw, SC, 29520; Unrelated, 4269. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Operation Hope Community Programs: 842 Clark Street, Pageland, SC, 29728; Unrelated, 6276. |
| Form 990EZ, Part I, Line 10 | Community Development; Youth Development; Pathfinders United: 104 Clyde Avenue, Cheraw, SC, 29520; Unrelated, 1125. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Pee Dee Coalition Against Domestic Abuse: PO Box 1351, Florence, SC, 29503; Unrelated, 3380. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Pee Dee Healthy Start: 314 W. Pine Street, Florence, SC, 29501; Unrelated, 875. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Pee Dee Speech and Hearing: PO Box 804, Florence, SC, 29503; Unrelated, 2581. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Sandhills VFD: PO Box 231, Jefferson, SC, 29718; Unrelated, 8000. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Sandy Grove Food Bank: 459 Marshall Street, Bennettsville, SC, 29512; Unrelted, 2800. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; South Carolina Conference of the UMC: 4908 Colonial Drive, Columbia, SC, 29203; Unrelated, 55847. |
| Form 990EZ, Part I, Line 10 | Community Development; Health & Safety; Zoar United Methodist Church: 2842 Zoar Rd., Cheraw , SC, 29520; Unrelated, 2200. |
| Form 990EZ, Part I, Line 16 | Administrative Expenses: 1116. |
| Form 990EZ, Part I, Line 16 | Allocations Restricted 2000. |
| Form 990EZ, Part I, Line 16 | Bank Service Charges 6. |
| Form 990EZ, Part I, Line 16 | Campaign Expenses: Posta 64. |
| Form 990EZ, Part I, Line 16 | Campaign Expenses: Promo 86. |
| Form 990EZ, Part I, Line 16 | Depreciation 0. |
| Form 990EZ, Part I, Line 16 | Miscellaneous: Dues, Fee 2220. |
| Form 990EZ, Part I, Line 16 | Other Expenses: Promotio 107. |
| Form 990EZ, Part I, Line 16 | Other Expenses: Voluntee 30. |
| Form 990EZ, Part I, Line 16 | Website 204. |
| Form 990EZ, Part II, Line 24 | Office Equipment 0. |
| Form 990EZ, Part II, Line 26 | Pledges Restricted 44572. 39181. |
| Form 990EZ, Part II, Line 26 | Rounding 1. |
| Software ID: | 19009670 |
| Software Version: |