Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2019 , and ending 12-31-2019
BCheck if applicable:
CName of organization
KaBOOM INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
4301 CONNECTICUT AVENUE NW
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WASHINGTON, DC20008
D Employer identification number

52-1970904
E Telephone number

G Gross receipts $ 31,593,359
F Name and address of principal officer:
JAMES SIEGAL
4301 CONNECTICUT AVE NW ML-1
WASHINGTON,DC20008
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.kaboom.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1996
M State of legal domicile: DC
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: KABOOM!, INC. IS THE NATIONAL NON-PROFIT ORGANIZATION DEDICATED TO GIVING ALL KIDS - PARTICULARLY THOSE GROWING UP IN POVERTY IN AMERICA - THE CHILDHOOD THEY DESERVE FILLED WITH BALANCED AND ACTIVE PLAY, SO THEY CAN THRIVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 9
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 9
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 107
6 Total number of volunteers (estimate if necessary) ............. 6 28,350
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 10,826,364 10,394,621
9 Program service revenue (Part VIII, line 2g) ......... 18,354,797 15,048,967
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 952,279 1,146,751
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 72 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 30,133,512 26,590,339
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,036,759 1,711,958
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 9,636,069 10,501,220
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,060,371    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 14,075,515 14,665,361
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 26,748,343 26,878,539
19 Revenue less expenses. Subtract line 18 from line 12....... 3,385,169 -288,200
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 22,895,362 21,913,729
21 Total liabilities (Part X, line 26)............. 6,659,860 4,404,138
22 Net assets or fund balances. Subtract line 21 from line 20..... 16,235,502 17,509,591
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: KABOOM!, INC. IS THE NATIONAL NON-PROFIT THAT WORKS TO END PLAYSPACE INEQUALITY BY AMPLIFYING THE POWER OF COMMUNITIES TO BUILD INSPIRING, KID-DESIGNED PLAYSPACES THAT SPARK UNLIMITED OPPORTUNITIES FOR EVERY KID, EVERYWHERE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 22,133,837 including grants of $ 1,711,958 ) (Revenue $ 14,387,626 )
SEE SCHEDULE O FOR DESCRIPTIONS PART I - TEAMING UP WITH COMMUNITIES TO BUILD KID-DESIGNED PLAYSPACES
4b (Code:   ) (Expenses $ 2,153,656 including grants of $ 0 ) (Revenue $ 661,341 )
SEE SCHEDULE O FOR DESCRIPTIONS PART II - DRIVING INNOVATION IN PLAYSPACE DESIGN PART III - HELPING TO ENSURE EQUITABLE ACCESS TO PLAYSPACES IN EVERY COMMUNITY
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet24,287,493
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
 
No
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
46
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
107
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
9
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
AL , AR , CA , FL , GA , HI , IL , KS , KY , MD , MA , MI , MN , MS , NH , NJ , NM , NY , NC , OR , PA , RI , SC , TN , UT , VA , WV , WI
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletGEORGE MEGAS4301 CONNECTICUT AVE NW ML-1   WASHINGTON,DC20008 (202) 659-0215
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) STEPHANIE GAILLARD WHITE......................................................................
BOARD CHAIR
 1.75
.................
  		X   X       0 0 0
(2) SHARON PRICE JOHN......................................................................
BOARD VICE CHAIR
 1.50
.................
  		X   X       0 0 0
(3) ERIC ROTHMAN......................................................................
TREASURER
 1.50
.................
  		X   X       0 0 0
(4) COLIN O'DONNELL......................................................................
SECRETARY
 1.50
.................
  		X   X       0 0 0
(5) RON LUMBRA......................................................................
MEMBER
 1.50
.................
  		X           0 0 0
(6) JAKE SIEWERT......................................................................
MEMBER
 1.75
.................
  		X           0 0 0
(7) MICHAEL ARATEN......................................................................
MEMBER
 1.75
.................
  		X           0 0 0
(8) DEBORAH A COWAN......................................................................
MEMBER
 1.75
.................
  		X           0 0 0
(9) UDAYA PATNAIK......................................................................
MEMBER
 1.50
.................
  		X           0 0 0
(10) JAMES SIEGAL......................................................................
CEO
 51.50
.................
  		    X       366,096 0 34,406
(11) BRUCE M BOWMAN......................................................................
PRESIDENT, PLAY PRODUCTS INITIATIVE
 48.50
.................
  		    X       294,236 0 29,406
(12) GEORGE T MEGAS......................................................................
CFO
 46.30
.................
  		    X       234,409 0 25,063
(13) LYSA RATLIFF......................................................................
VP, PARTNERSHIP DEVELOPMENT
 45.10
.................
  		        X   234,676 0 12,232
(14) CARLYNE CARDICHON......................................................................
VP, FINANCE
 47.60
.................
  		        X   199,187 0 26,206
(15) AMY LEVNER......................................................................
VP, MARKETING & COMMUNICATIONS
 46.30
.................
  		        X   194,313 0 27,437
(16) RONDA JACKSON......................................................................
VP, CITY PARTNERSHIPS
 40.30
.................
  		        X   195,742 0 15,894
(17) CARRIE LEOVY......................................................................
SENIOR STRATEGIST
 46.60
.................
  		        X   175,861 0 25,408
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 1,894,520 0 196,052
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet26
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
PURPOSE CAMPAIGNS LLC,
115 5TH AVENUE FLOOR 6
NEW YORK,NY10003 		BRAND STRATEGY 403,543
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet1
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 10,394,621
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 10,394,621
Program Service RevenueAmt Business Code
2a CONTRACTED PROGRAM SERVICES 900099 15,048,967   0 0
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 15,048,967
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 540,694   0 540,694
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   5,609,077 7a
b Less: cost or other basis and sales expenses   5,003,020 7b
c Gain or (loss)   606,057 7c
d Net gain or (loss).........MediumBullet 606,057 0 0 606,057
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See instructions.....MediumBullet 26,590,339 15,048,967 0 1,146,751
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 1,702,208 1,702,208
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 9,750 9,750
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 983,616 818,413 93,809 71,394
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 7,646,026 6,361,836 729,214 554,976
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 350,111 291,308 33,391 25,412
9 Other employee benefits ....... 909,472 756,721 86,738 66,013
10 Payroll taxes ........... 611,995 509,208 58,367 44,420
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 72,672 58,385 8,795 5,492
c Accounting ........... 74,622 59,952 9,031 5,639
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 106,556 70,723 25,958 9,875
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 1,238,305 994,868 149,863 93,574
12 Advertising and promotion .... 15,105 10,026 3,680 1,399
13 Office expenses ....... 316,489 278,693 17,558 20,238
14 Information technology ...... 305,147 233,247 44,860 27,040
15 Royalties ..        
16 Occupancy ........... 598,701 427,056 131,758 39,887
17 Travel ............ 1,160,149 1,081,272 28,280 50,597
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 69,627 64,745 0 4,882
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 248,978 177,742 54,810 16,426
23 Insurance ... 101,462 67,342 24,717 9,403
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PLAYGROUND EQUIPMENT 6,573,217 6,573,217 0 0
b OTHER PLAYGROUND COSTS 3,555,624 3,555,624 0 0
c MARKETING 102,464 99,456 0 3,008
d DUES AND SUBSCRIPTIONS 87,684 58,197 21,361 8,126
e All other expenses 38,559 27,504 8,485 2,570
25 Total functional expenses. Add lines 1 through 24e 26,878,539 24,287,493 1,530,675 1,060,371
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 1,329,549 2 1,061,527
3 Pledges and grants receivable, net ...... 1,668,350 3 1,036,013
4 Accounts receivable, net ............. 455,256 4 478,695
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 50,143 8 23,315
9 Prepaid expenses and deferred charges ...... 87,833 9 212,836
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,150,291
b Less: accumulated depreciation 10b 1,744,463 572,565 10c 405,828
11 Investments—publicly traded securities . 18,542,321 11 18,595,248
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 176,209 14 88,626
15 Other assets. See Part IV, line 11 ........... 13,136 15 11,641
16 Total assets. Add lines 1 through 15 (must equal line 33)... 22,895,362 16 21,913,729
Liabilities 17 Accounts payable and accrued expenses ..... 2,644,365 17 2,046,236
18 Grants payable ... 395,540 18 488,628
19 Deferred revenue ......... 3,142,357 19 1,572,771
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 477,598 25 296,503
26 Total liabilities. Add lines 17 through 25.. 6,659,860 26 4,404,138
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 12,396,656 27 13,555,369
28 Net assets with donor restrictions ........... 3,838,846 28 3,954,222
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 16,235,502 32 17,509,591
33 Total liabilities and net assets/fund balances ........ 22,895,362 33 21,913,729
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
26,590,339
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
26,878,539
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-288,200
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
16,235,502
5
Net unrealized gains (losses) on investments ...............
5
1,562,289
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
 
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
17,509,591
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID: 19009670
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
KaBOOM INC
 
Employer identification number

52-1970904
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(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
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (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  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
0 %
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (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.") . 6,529,655 4,024,076 4,203,359 10,826,364 10,394,621 35,978,075
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 20,551,573 21,854,391 18,522,049 18,354,797 15,048,967 94,331,777
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....           0
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...           0
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5 27,081,228 25,878,467 22,725,408 29,181,161 25,443,588 130,309,852
7a Amounts included on lines 1, 2, and 3 received from disqualified persons 57,214 43,174 59,511 38,516 46,231 244,646
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. 8,978,702 13,137,326 9,209,045 8,492,972 10,866,228 50,684,273
c Add lines 7a and 7b.. 9,035,916 13,180,500 9,268,556 8,531,488 10,912,459 50,928,919
8 Public support. (Subtract line 7c from line 6.) 79,380,933
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
9 Amounts from line 6... 27,081,228 25,878,467 22,725,408 29,181,161 25,443,588 130,309,852
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 237,209 326,762 364,209 455,376 540,694 1,924,250
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 237,209 326,762 364,209 455,376 540,694 1,924,250
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.) .. -229 801 448 72 0 1,092
13 Total support. (Add lines 9, 10c, 11, and 12.)..           132,235,194
14
Section C. Computation of Public Support Percentage
15
15
60.030 %
16
16
59.380 %
Section D. Computation of Investment Income Percentage
17
17
1.460 %
18
18
1.330 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
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.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Pt III Ln 12 Other Income Part III, Line 12 Description: MISCELLANEOUS INCOME 2015: -229. 2016: 801. 2017: 448. 2018: 72. 2019: 0.
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 19009670
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Name of the organization
KaBOOM INC
 
Employer identification number

52-1970904
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
KaBOOM INC
  		Employer identification number
52-1970904
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
KaBOOM INC
  		Employer identification number

52-1970904
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
KaBOOM INC
  		Employer identification number

52-1970904
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
KaBOOM INC
 
Employer identification number

52-1970904
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ...... 4,500,000 4,500,000 4,500,000 4,500,000 4,500,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet100.000 %
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
No
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ..... 0   0
b Buildings ....        
c Leasehold improvements   1,176,295 865,129 311,166
d Equipment ....   917,420 822,758 94,662
e Other .....   56,576 56,576 0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 405,828
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 296,503
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 25,867,133
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b 423,545
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 423,545
3 Subtract line 2e from line 1.................. 3 25,443,588
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b 1,146,751
c Add lines 4a and 4b.................... 4c 1,146,751
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 26,590,339
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 27,185,889
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a 423,545
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e 423,545
3 Subtract line 2e from line 1................... 3 26,762,344
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 116,195
c Add lines 4a and 4b..................... 4c 116,195
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 26,878,539
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Pt V, Line 4 BOARD-DESIGNATED OPERATING RESERVES
Pt X, Line 2 MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION ON THE FINANCIAL STATEMENTS.
Pt XI, Line 4b AMOUNT CONSISTS OF INVESTMENT INTEREST AND CAPITAL GAINS REPORTED SEPARATELY ON THE FINANCIAL STATEMENTS.
Pt XII, Line 4b INVESTMENT FEES NETTED AGAINST INVESTMENT REVENUE ON THE FINANCIAL STATEMENTS.
Schedule D (Form 990) 2019


Additional Data


Software ID: 19009670
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
KaBOOM INC
 
Employer identification number

52-1970904
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
North America 0 0 CONTRACTED PROGRAM SERVICES PLAYGROUND BUILDS 277,185
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 277,185
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 0 0 277,185
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
North America PLAYSPACE ENHANCEMEN 9,750 EFT      
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
1
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
Pt I Line 2 KABOOM! HAS A SET OF RULES AND REQUIREMENTS REGARDING THE CRITERIA AND APPROVAL PROCEDURES FOR THIS GRANT PROGRAM. THE GRANT APPLICATION RULES AND PROCESS DOES NOT VARY BASED ON WHETHER THE PROJECTS WERE OUTSIDE THE US. SEE GRANTMAKING PROCEDURES IN THE US AT SCHEDULE I.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2019
Additional Data


Software ID: 19009670
Software Version:  




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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
KaBOOM INC
 
Employer identification number
52-1970904
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) GENESEE-ORLEANS REGIONAL ARTS COUNCIL
201 E MAIN ST
BATAVIA,NY14020 		16-1067054 501(C)(3)/GOVT 70,000 0 N/A N/A PLAYSPACE INNOVATION
(2) KENAN CENTER INC
433 LOCUST ST
LOCKPORT,NY14094 		16-6088230 501(C)(3)/GOVT 67,000 0 N/A N/A PLAYSPACE INNOVATION
(3) CHARTER TOWNSHIP OF ORION
2525 JOSLYN RD
LAKE ORION,MI48360 		38-6006171 501(C)(3)/GOVT 65,000 0 N/A N/A PLAYSPACE INNOVATION
(4) CITY OF OAK PARK
14000 OAK PARK BLVD
OAK PARK,MI48237 		38-6004641 501(C)(3)/GOVT 65,000 0 N/A N/A PLAYSPACE INNOVATION
(5) KING CENTER CHARTER SCHOOL
156 NEWBURGH AVE
BUFFALO,NY14211 		16-1587793 501(C)(3)/GOVT 63,000 0 N/A N/A PLAYSPACE INNOVATION
(6) COMMON GROUND HEALTH
1150 UNIVERSITY AVE BLDG 5
ROCHESTER,NY14609 		16-1061456 501(C)(3)/GOVT 60,000 0 N/A N/A PLAYSPACE INNOVATION
(7) USA NIAGARA (NYSUDC)
222 1ST ST 7TH FL
NIAGARA FALLS,NY14301 		13-2624287 501(C)(3)/GOVT 56,675 0 N/A N/A PLAYSPACE INNOVATION
(8) CITY OF PONTIAC
47450 WOODWARD AVE
PONTIAC,MI48341 		38-6005034 501(C)(3)/GOVT 56,500 0 N/A N/A PLAYSPACE INNOVATION
(9) FOODLINK INC
1999 MT READ BLVD
ROCHESTER,NY14615 		22-2428304 501(C)(3)/GOVT 54,550 0 N/A N/A PLAYSPACE INNOVATION
(10) WARRIORS IN ART
1907 SABINE ST STUDIO 115
HOUSTON,TX77007 		82-5471711 501(C)(3)/GOVT 53,500 0 N/A N/A PLAYSPACE INNOVATION
(11) ALFRED ALMOND COMMUNITY SPORTS ASSOCIATION
1 MARVIN LN
ALMOND,NY14804 		46-5089218 501(C)(3)/GOVT 52,450 0 N/A N/A PLAYSPACE INNOVATION
(12) CAMP PUZZLE PEACE
10 ROCKHURST DR
PENFIELD,NY14526 		46-1887844 501(C)(3)/GOVT 51,450 0 N/A N/A PLAYSPACE INNOVATION
(13) GLOW YMCA INC
209 E MAIN ST
BATAVIA,NY14020 		16-0743230 501(C)(3)/GOVT 51,000 0 N/A N/A PLAYSPACE INNOVATION
(14) MONROE FAMILY YMCA
1111 W ELM AVE
MONROE,MI48162 		38-1508585 501(C)(3)/GOVT 50,000 0 N/A N/A PLAYSPACE INNOVATION
(15) NORTHFIELD TOWNSHIP
8350 MAIN ST
WHITMORE LAKE,MI48189 		38-1812291 501(C)(3)/GOVT 47,550 0 N/A N/A PLAYSPACE INNOVATION
(16) CHAUTAUQUA COUNTY HEALTH NETWORK
200 HARRISON ST STE 200
JAMESTOWN,NY14701 		16-1567513 501(C)(3)/GOVT 42,500 0 N/A N/A PLAYSPACE INNOVATION
(17) VILLAGE OF MANCHESTER
PO BOX 485
MANCHESTER,MI48158 		38-6004707 501(C)(3)/GOVT 41,000 0 N/A N/A PLAYSPACE INNOVATION
(18) CITY OF MARINE CITY
303 S WATER ST
MARINE CITY,MI48039 		38-6004573 501(C)(3)/GOVT 32,000 0 N/A N/A PLAYSPACE INNOVATION
(19) INDEPENDENT HEALTH FOUNDATION
511 FARBER LAKES DR
BUFFALO,NY14221 		16-1417199 501(C)(3)/GOVT 28,000 0 N/A N/A PLAYSPACE INNOVATION
(20) HOWELL MAIN STREET INC
118 W CLINTON ST
HOWELL,MI48843 		81-2891619 501(C)(3)/GOVT 27,825 0 N/A N/A PLAYSPACE INNOVATION
(21) CITY OF ALGONAC
805 ST CLAIR RIVER DR
ALGONAC,MI48001 		38-6004530 501(C)(3)/GOVT 18,000 0 N/A N/A PLAYSPACE INNOVATION
(22) BRASS COMMUNITY SCHOOL
6400 15TH AVE
KENOSHA,WI53143 		39-1089927 501(C)(3)/GOVT 14,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(23) CITY OF RIVER ROUGE
10600 W JEFFERSON
RIVER ROUGE,MI48218 		38-6004587 501(C)(3)/GOVT 14,000 0 N/A N/A PLAYSPACE INNOVATION
(24) JASPER ELEMENTARY SCHOOL
328 W TENTH ST
JASPER,IN47456 		35-1152332 501(C)(3)/GOVT 14,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(25) KANKAKEE TRINITY ACADEMY
1580 BUTTERFIELD TRAIL
KANKAKEE,IL60901 		36-3143810 501(C)(3)/GOVT 14,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(26) NORTHRIDGE ACADEMY
4100 W COLDWATER RD
FLINT,MI48504 		38-3478460 501(C)(3)/GOVT 14,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(27) DES LACS BURLINGTON ELEMENTARY
PO BOX 117
DES LACS,ND58733 		45-6006741 501(C)(3)/GOVT 14,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(28) CITY OF EL CAJON
200 CIVIC CENTER
EL CAJON,TX09202 		95-6000703 501(C)(3)/GOVT 9,750 0 N/A N/A PLAYSPACE ENHANCEMENT
(29) CITY OF TUKWILA PARKS AND RECREATION
12424 42ND AVE S
TUKWILA,WA98168 		91-6001519 501(C)(3)/GOVT 9,750 0 N/A N/A PLAYSPACE ENHANCEMENT
(30) WESTSIDE NEIGHBORHOOD DEVELPMENT CORPORATION
PO BOX 383
MUNROE FALLS,OH44262 		34-1636679 501(C)(3)/GOVT 9,750 0 N/A N/A PLAYSPACE ENHANCEMENT
(31) TWO-BRIDGE CREEK ELEMENTARY
121 BOMBING RANGE RD
ELGIN,SC29045 		57-1106644 501(C)(3)/GOVT 8,070 0 N/A N/A IMAGINATION PLAYGROUND
(32) BOYS & GIRLS CLUBS OF SCHENECTADY
104 EDUCATION DR
SCHENECTADY,NY12303 		14-1364595 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(33) BRASHER FALLS CENTRAL
1039 STATE HWY 520
BRASHER FALLS,NY13613 		25-6002453 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(34) BRIDGEVILLE SCHOOL
PO BOX 98
BRIDGEVILLE,CA95526 		94-2347115 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(35) CAMPUS CLUBS INC
2193 VINEVILLE AVE
MACON,GA31204 		58-2373761 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(36) CANANDAIGUA KIWANIS FOUNDATION INC
PO BOX 863
CANANDAIGUA,NY14424 		16-1517636 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(37) CARLISLE COUNTY ELEMENTARY
4557 STATE RT 1377
BARDWELL,KY42023 		61-6001241 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(38) CITY OF CHICOPEE
274 FRONT ST
CHICOPEE,MA01013 		04-6001385 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(39) CITY OF KERMAN
7205 8TH ST
KERMAN,CA93630 		94-6000351 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(40) COALINGA HURON UNIFIED SCHOOL DISTRICT
657 SUNSET ST
COALINGA,CA93210 		77-0559741 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(41) COEBURN MIDDLE SCHOOL
518 CENTRE AVE
COEBURN,VA24230 		54-6001690 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(42) COMMUNITY FOUNDATION - FREEDOM PARK
PO BOX 4474
CLEVELAND,TN37320 		26-2101084 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(43) CONGREGATION BAIS TZVI YOS
59 PARRY ST
LUZERNE,PA18709 		45-2915535 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(44) COUNTY OF SCOTLAND
PO BOX 489
LAURINBURG,NC28353 		56-6000339 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(45) DWORSHAK ELEMENTARY PTO
102 E 19TH ST
BURLEY,ID83318 		80-0768065 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(46) FAVORED FOUNDATION FOR STRENGTHENING FAMILIES
5990 PAGE
SAINT LOUIS,MO63112 		46-3901875 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(47) FOUR RIVERS OUTREACH CDC
7396 RIVERS AVE
CHARLESTON,SC29406 		51-0611169 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(48) GEORGE COUNTY SCHOOL DISTRICT - LT TAYLOR INTERMEDIATE
5152 MAIN ST
LUCEDALE,MS39452 		64-6000379 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(49) GEORGE JUNIOR REPUBLIC
233 GEORGE JUNIOR RD
GROVE CITY,PA16127 		25-1536204 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(50) GREWENOW ELEMENTARY SCHOOL
7714 20TH AVE
KENOSHA,WI53143 		39-1089927 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(51) HARVEST HOUSE
3650 17TH ST
SARASOTA,FL34235 		59-2186807 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(52) HOUSING AUTHORITY OF THE CITY OF ANNAPOLIS
1217 MADISON ST
ANNAPOLIS,MD21403 		52-6001393 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(53) IRON COUNTY C-4 SCHOOL DISTRICT - VIBURNUM ELEMENTARY
HWY 49
VIBURNUM,MO65566 		43-6000720 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(54) KC BLIND ALL STARS
1100 STATE AVE
KANSAS CITY,KS66162 		48-0950013 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(55) KNOX COUNTY YMCA
1324 W CARL SANDBURG DR
GALESBURG,IL61401 		37-0661260 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(56) LEECH LAKE BAND OF OJIBWE
190 SAILSTAR DR NW
CASS LAKE,MN56633 		41-1242052 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(57) LOGANSPORT COMMUNITY SCHOOL - COLUMBIA ELEMENTARY
2829 GEORGE ST
LOGANSPORT,IN46947 		35-6006860 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(58) LUTHER VAUGHAN ELEMENTARY
192 VAUGHAN RD
GAFFNEY,SC29341 		57-6001580 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(59) MARIE WILKINSON CDC
PO BOX 1911
AURORA,IL60507 		36-2696529 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(60) MCALESTER PUBLIC SCHOOLS - PARKER INTERMEDIATE
PO BOX 1027
MCALESTER,OK74501 		73-6021200 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(61) MERCY HOUSING LAKEFRONT
120 S LASALLE STE 1850
CHICAGO,IL60603 		36-3453183 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(62) MINETTO HSA INC
2411 COUNTY RTE 8
OSWEGO,NY13126 		31-1663890 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(63) MONEY CREEK TOWNSHIP
18035 COUNTY 26
HOUSTON,MN55943 		41-1466805 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(64) MULLICA TOWNSHIP
PO BOX 317
ELWOOD,NJ08217 		22-2599059 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(65) MUSEUM OF AVIATION FOUNDATION
PO BOX 2469
WARNER ROBINS,GA31099 		58-1451656 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(66) NAUGATUCK PUBLIC SCHOOLS - HOP BROOK ELEMENTARY
497 RUBBER AVE
NAUGATUCK,CT06770 		06-6002041 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(67) PAKACHOAG ACRES
153 MILLBURY AVE
MILLBURY,MA01527 		04-2635069 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(68) PASSAVANT AREA HOSPITAL
1600 W WALNUT ST
PLEASANT PLAINS,IL62650 		37-0661230 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(69) PINEVILLE INDEPENDENT
401 VIRGINIA AVE
PINEVILLE,KY40977 		61-6001431 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(70) PRIDE STORES
246 COTTAGE ST
SPRINGFIELD,MA01104 		30-0759066 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(71) PROJECT PLAY
PO BOX 162
MENTOR,MN56736 		41-6005367 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(72) PROTEUS INC
1830 N DINUBA BLVD
VISALIA,CA93291 		94-2184330 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(73) REGIONAL SCHOOL UNIT 10
799 HANCOCK ST STE 1
RUMFORD,ME04276 		30-0530840 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(74) ROOSEVELT ELEMENTARY
230 3RD AVE E
DICKINSON,ND58601 		45-6001585 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(75) RUSHFORD ECONOMIC DEVELOPMENT ORGANIZATION
PO BOX 437
RUSHFORD,NY14777 		16-6002365 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(76) SHERBURNE-EARLVILLE CENTRAL SCHOOL
15 SCHOOL ST
SHERBURNE,NY13460 		16-0924133 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(77) SMITHVILLE ELEMENTARY
PO BOX 30
SMITHVILLE,WV26178 		55-6000394 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(78) SOMERSET COMMUNITY ACTION PROGRAM
155 PIERCE ST
SOMERSET,NJ08873 		22-6075617 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(79) STEM MAGNET ACADEMY
8434 POINTE COUPEE RD
MORGANZA,LA70759 		72-6001102 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(80) THE GRACE FOUNDATION OF NY
460 BRIELLE AVE
STATEN ISLAND,NY10314 		13-4131863 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(81) THE LEARNING CENTER
611 KORTE PKWY
LONGMONT,CO80501 		84-0523717 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(82) TIMBER LAKE & AREA DEVELOPMENT INC
PO BOX 194
TIMBER LAKE,SD57656 		36-3813692 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(83) TOWN OF CHESTER
PO BOX 423
CHESTERTOWN,NY12817 		14-6002124 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(84) TROY CITY SCHOOLS
PO BOX 529
TROY,AL36081 		63-6001127 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(85) UNITED WAY OF GREATER RICHMOND & PETERSBURG
2001 MAYWILL ST STE 201
RICHMOND,VA23230 		23-7375346 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(86) VILLAGE OF UNIVERSITY PARK
698 BURNHAM DR
UNIVERSITY PARK,IL60484 		36-2651341 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(87) YMCA OF SHAWNEE
700 W SARATOGA
SHAWNEE,OK74804 		73-0602462 501(C)(3)/GOVT 8,000 0 N/A N/A PLAYSPACE CONSTRUCTION
(88) ALBUQUERQUE CHRISTIAN CHILDREN'S HOME
5700 WINTER HAVEN RD
ALBUQUERQUE,NM87120 		23-7122398 501(C)(3)/GOVT 7,631 0 N/A N/A IMAGINATION PLAYGROUND
(89) SUNLAND PARK COMMUNITY LIBRARY
1000 MCNUTT RD
SUNLAND PARK,NM88063 		85-0316599 501(C)(3)/GOVT 7,631 0 N/A N/A IMAGINATION PLAYGROUND
(90) BOYS & GIRLS CLUBS OF METRO DENVER INC
2017 W 9TH AVE
DENVER,CO80204 		84-0510404 501(C)(3)/GOVT 7,427 0 N/A N/A IMAGINATION PLAYGROUND
(91) BOYS & GIRLS CLUBS OF THE MIDLANDS
2610 HAMILTON ST
OMAHA,NE68131 		47-0467350 501(C)(3)/GOVT 7,393 0 N/A N/A IMAGINATION PLAYGROUND
(92) AVENUE COMMUNITY DEVELOPMENT CORPORATION
2505 WASHINGTON AVE STE 400
HOUSTON,TX77007 		74-6019671 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(93) BOYS & GIRLS CLUB OF THE COASTAL BEND
3902 GREENWOOD DR
CORPUS CHRISTI,TX78416 		74-1294586 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(94) CHILDREN'S DISCOVERY MUSEUM OF THE GOLDEN CRESCENT
1205 SAM HOUSTON
VICTORIA,TX77901 		74-2920207 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(95) EXCELLENCE ACADEMY CHILD CARE & LEARNING CENTER
2801 MAIN ST
DICKINSON,TX77539 		26-1419750 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(96) FOCUSING FAMILIES
PO BOX 1053
HEMPSTEAD,TX77445 		76-0631349 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(97) FOOD BANK OF THE GOLDEN CRESCENT
3809 E RIO GRANDE ST
VICTORIA,TX77901 		74-2534561 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(98) HITCHCOCK INDEPENDENT SCHOOL DISTRICT
7801 NEVILLE RD BLDG B
HITCHCOCK,TX77563 		74-6001099 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(99) MEVERICK BOYS & GIRLS CLUB OF AMARILLO
1923 S LINCOLN ST
AMARILLO,TX79109 		75-0808760 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(100) PROMISE ROSE RESIDENTIAL CARE HOME INC
9035 COMAL ST
HOUSTON,TX77051 		82-1579974 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(101) TEXAS ANNUAL CONFERENCE UNITED METHODIST CHURCH
5215 MAIN ST
HOUSTON,TX77002 		74-1491628 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(102) THE BOYS & GIRLS CLUBS OF WACO
2700 N 21ST ST
WACO,TX76708 		74-6002520 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(103) YMCA OF WICHITA FALLS
1010 9TH ST
WICHITA FALLS,TX76301 		75-0808818 501(C)(3)/GOVT 7,274 0 N/A N/A IMAGINATION PLAYGROUND
(104) LOVE CITY INC
344 N 26TH
LOUISVILLE,KY40212 		47-5206106 501(C)(3)/GOVT 6,977 0 N/A N/A IMAGINATION PLAYGROUND
(105) RICHMOND POLICE ATHLETIC LEAGUE
1365 OVERBROOK RD
RICHMOND,VA23220 		54-1549777 501(C)(3)/GOVT 6,926 0 N/A N/A IMAGINATION PLAYGROUND
(106) BOYS & GIRLS CLUB OF CENTRAL NEW MEXICO
3333 TRUMAN NE
ALBUQUERQUE,NM87110 		85-0106943 501(C)(3)/GOVT 5,445 0 N/A N/A RIGAMIJIG
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
160
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Pt I Line 2 KABOOM!, INC. COLLABORATES WITH FUNDING SOURCES TO OFFER GRANTS FOR PLAYGROUNDS, INNOVATIVE PLAY AND PLAY-RELATED PRODUCTS THAT ARE DESIGNED TO ENCOURAGE ACTIVE AND BALANCED PLAY, CREATIVITY, IMAGINATION, COMMUNICATION AND COLLABORATION. KABOOM! GRANT PROGRAMS PROVIDE FUNDING, PLANNING AND TECHNICAL ASSISTANCE AND/OR PRODUCTS TO COMMUNITIES THAT SEEK TO INCREASE PLAY OPPORTUNITIES FOR KIDS. IN ADDITION, GRANTEES ARE ABLE TO ACCESS FREE KABOOM! ONLINE TOOLS TO HELP GUIDE THEM THROUGH THE PROCESS OF BUILDING OR IMPROVING A PLAYSPACE, DESIGNING AN INNOVATIVE PLAYSPACE, AND INTRODUCING PLAY-RELATED PRODUCTS TO PLAYTIME, RECESS OR CLASSROOM INSTRUCTION. THE GRANT PROGRAMS ARE FUNDED BY THIRD PARTY FUNDING SOURCES AND GENERALLY ADMINISTERED BY KABOOM!. THESE PROGRAMS PROVIDE KABOOM! THE OPPORTUNITY TO WORK WITH GROUPS THAT MAY BE INELIGIBLE CANDIDATES FOR A STANDARD KABOOM! PLAYGROUND PROJECT. THERE ARE THREE PRIMARY TYPES OF GRANT PROGRAMS: 1) CONSTRUCTION GRANTS: FINANCIAL SUPPORT FUNDS APPROXIMATELY 15% - 50% OF THE OVERALL COST FOR A PROJECT AND PROVIDES THE GRANTEE WITH PLANNING SUPPORT AND TECHNICAL ASSISTANCE. THE PROJECTS, WHICH RESULT IN NEW, REFURBISHED AND/OR EXPANDED PLAYGROUNDS, ARE INTENDED TO ENGAGE, INVOLVE, AND UNITE THE COMMUNITY. GRANTEES HAVE REPORTED THAT SUCH GRANTS HAVE PROVEN TO CATALYZE ADDITIONAL FUNDRAISING EFFORTS AND PROMOTE COMMUNITY ENGAGEMENT. 2) CREATIVE PLAY GRANTS: INNOVATIVE PLAY AND PLAY-RELATED PRODUCTS, SUCH AS IMAGINATION PLAYGROUND AND RIGAMAJIG, ARE DESIGNED TO ENCOURAGE CREATIVITY, IMAGINATION, COMMUNICATION AND COLLABORATION IN PLAY. GRANTEES ARE ABLE TO INCORPORATE THESE PRODUCTS INTO EXISTING PROGRAMS AND USE THEM FOR SPECIAL EVENTS IN THEIR COMMUNITY. 3) PLAY EVERYWHERE: FUNDING IS PROVIDED TO CITIES AND COMMUNITIES TO CREATE OPPORTUNITIES FOR KIDS TO LEAP, SCRAMBLE, AND JUMP THROUGH PLAYFUL TRANSFORMATIONS IN EVERY DAY SPACES IN THEIR COMMUNITIES (E.G., AT GROCERY STORES, IN EMPTY LOTS, ON SIDEWALKS, CROSSWALKS, AND CLOSED STREETS). KABOOM! HAS A STANDARD APPLICATION FORM FOR EACH GRANT PROGRAM, WHICH IS ACCESSIBLE ON OUR WEBSITE. PROSPECTIVE GRANTEES SUBMIT GRANT APPLICATIONS ONLINE. EACH APPLICATION IS INITIALLY REVIEWED BY A GRANT ADMINISTRATIVE COORDINATOR TO ENSURE ALL INFORMATION IS SUBMITTED. THE SUBMITTED GRANT APPLICATIONS ARE REVIEWED AND SCORED BY AN INTERNAL GRANT REVIEW PANEL CONSISTING OF 2-5 KABOOM! STAFF MEMBERS, INCLUDING A GRANT MANAGER. SCORING IS BASED ON DEFINED SELECTION CRITERIA, WHICH IS CREATED BY KABOOM! AND FREQUENTLY IS APPROVED BY THE FUNDING PARTNER FOR SUCH GRANT. THE GRANT REVIEW PANEL'S RECOMMENDATIONS ARE SUBMITTED TO THE FUNDING PARTNER FOR APPROVAL. SELECTED GRANTEES ARE NOTIFIED OF THE AWARD AND SENT A GRANT AGREEMENT. EACH GRANT AGREEMENT INCLUDES PERFORMANCE BENCHMARKS THAT THE GRANTEE MUST ACKNOWLEDGE UPON ACCEPTANCE OF THE GRANT. THE GRANT MANAGER FOLLOWS UP AS NEEDED WITH EACH GRANTEE REGARDING PROGRESS TOWARD COMPLETION OF EACH BENCHMARK. KABOOM! WILL NOT RELEASE GRANT FUNDS OR COORDINATE DELIVERY OF CREATIVE PLAY PRODUCTS IF A GRANTEE HAS NOT EXECUTED A GRANT AGREEMENT, MET THE REQUIRED BENCHMARKS AND SUPPLIED THE APPROPRIATE DOCUMENTATION. WHEN A GRANTEE REQUESTS FULFILLMENT OF THE GRANT AWARD FOR ITS PROJECT, THE GRANT MANAGER WILL ENSURE THAT ALL OF THE DOCUMENTATION REQUIRED FOR KABOOM! TO INITIATE RELEASE OF SUCH GRANT AWARD HAS BEEN SUBMITTED. ONCE THE GRANT MANAGER CONFIRMS THAT REQUIRED BENCHMARKS HAVE BEEN MET AND REQUIRED DOCUMENTATION HAS BEEN RECEIVED, THE GRANT MANAGER WILL PREPARE A CHECK REQUEST, WHICH MUST BE APPROVED BY THE CFO PRIOR TO PAYMENT. WHEN THE GRANT IS FOR PLAY PRODUCTS, THE PLAY PRODUCT WILL NOT BE SHIPPED UNTIL ALL REQUIRED DOCUMENTATION HAS BEEN RECEIVED. GRANTS SERVE THE FOLLOWING TYPES OF ORGANIZATIONS: oCHILD SERVING NON-PROFIT ORGANIZATIONS oNEIGHBORHOOD ASSOCIATIONS oNATIVE AMERICAN TRIBAL ORGANIZATIONS oSCHOOLS OR PTO/PTAS oMUNICIPALITIES oOTHER COMMUNITY BASED ORGANIZATIONS oHOUSING AUTHORITIES CRITERIA FOR A KABOOM! GRANTEE INCLUDES: oNEED (FOR A PLAYSPACE OR AN IMPROVED PLAYSPACE) oIMPACT THAT THE PLAYSPACE WILL HAVE IN THE COMMUNITY oCOMMUNITIES THAT HAVE A HIGH NEED oCAPACITY TO ENGAGE THE COMMUNITY oCAPACITY TO GENERATE MATCHING FUNDS oCAPACITY TO IMPACT THE LARGEST NUMBER OF KIDS oDEMONSTRATED ENTHUSIASM FOR PROJECT AND COMMITMENT TO FULFILL REQUIREMENTS.
Schedule I (Form 990) 2019



Additional Data


Software ID: 19009670
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
KaBOOM INC
 
Employer identification number

52-1970904
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1JAMES SIEGAL
  		(i)

(ii)		 300,135
-------------
0 		65,961
-------------
0 		0
-------------
0 		16,800
-------------
0 		17,606
-------------
0 		400,502
-------------
0 		0
-------------
0
2BRUCE M BOWMAN
  		(i)

(ii)		 251,236
-------------
0 		43,000
-------------
0 		0
-------------
0 		15,074
-------------
0 		14,332
-------------
0 		323,642
-------------
0 		0
-------------
0
3GEORGE T MEGAS
  		(i)

(ii)		 192,409
-------------
0 		42,000
-------------
0 		0
-------------
0 		11,545
-------------
0 		13,518
-------------
0 		259,472
-------------
0 		0
-------------
0
4LYSA RATLIFF
  		(i)

(ii)		 191,676
-------------
0 		43,000
-------------
0 		0
-------------
0 		11,227
-------------
0 		1,005
-------------
0 		246,908
-------------
0 		0
-------------
0
5CARLYNE CARDICHON
  		(i)

(ii)		 161,687
-------------
0 		37,500
-------------
0 		0
-------------
0 		9,701
-------------
0 		16,505
-------------
0 		225,393
-------------
0 		0
-------------
0
6AMY LEVNER
  		(i)

(ii)		 161,813
-------------
0 		32,500
-------------
0 		0
-------------
0 		9,709
-------------
0 		17,728
-------------
0 		221,750
-------------
0 		0
-------------
0
7RONDA JACKSON
  		(i)

(ii)		 162,242
-------------
0 		33,500
-------------
0 		0
-------------
0 		9,735
-------------
0 		6,159
-------------
0 		211,636
-------------
0 		0
-------------
0
8CARRIE LEOVY
  		(i)

(ii)		 148,401
-------------
0 		27,460
-------------
0 		0
-------------
0 		8,904
-------------
0 		16,504
-------------
0 		201,269
-------------
0 		0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Other KABOOM!, INC. MAINTAINS A WRITTEN EXECUTIVE TRAVEL POLICY, WHICH APPLIES TO EACH OF ITS OFFICERS. THE POLICY, WHICH IS ADMINISTERED BY THE FINANCE COMMITTEE AND APPROVED BY THE BOARD, COVERS AIR AND TRAIN TRAVEL, ACCOMMODATIONS, CAR RENTALS AND LOCAL TRANSPORTATION AS WELL AS MEALS AND OTHER TRAVEL EXPENSES. THE POLICY REQUIRES ECONOMY OR BUSINESS CLASS TRAVEL FOR SUBSTANTIALLY ALL AIR TRAVEL. UNDER KABOOM!'S EXECUTIVE EXPENSE REVIEW PROCESS, THE TRAVEL AND OTHER EXPENSES FOR THE CEO INITIALLY ARE REVIEWED AND APPROVED BY THE CFO, WHO REPORTS ON THESE EXPENSES IN DETAIL AND WITH APPROPRIATE ANALYSIS QUARTERLY TO THE CHAIR OF THE FINANCE COMMITTEE WHO ALSO REVIEWS AND APPROVES THESE EXPENSES. THE CHAIR OF THE FINANCE COMMITTEE REPORTS TO THE BOARD ON THE RESULTS OF SUCH REVIEW. AS PART OF THE ANNUAL AUDIT PROCESS THE INDEPENDENT AUDITORS INCLUDE IN THEIR EXAMINATION A REVIEW OF THE COMPANY'S COMPLIANCE WITH THIS POLICY AND CONDUCT SAMPLE TESTING AND REVIEW OF THE EXPENSE RECEIPTS AND DOCUMENTATION FOR THE CEO.
Schedule J (Form 990) 2019

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
KaBOOM INC
 
Employer identification number

52-1970904
Return Reference Explanation
Other PART III, LINE 1: KIDS WHO DON'T HAVE ACCESS TO PLAY MISS OUT ON CHILDHOOD AND ARE DENIED CRITICAL OPPORTUNITIES TO BUILD PHYSICAL, SOCIAL AND EMOTIONAL HEALTH. AND ALL TOO OFTEN, IT MORE DEEPLY AFFECTS COMMUNITIES OF COLOR. KABOOM! ENVISIONS A WORLD WHERE EVERY KID CAN GET THE PLAY THEY NEED TO THRIVE, REGARDLESS OF RACE, ZIP CODE AND FAMILY INCOME. WHERE EVERY ELEMENTARY SCHOOL HAS A PLACE FOR KIDS TO EXPERIENCE THE SIMPLE JOYS OF CHILDHOOD. TEENS HAVE A SPACE IN THEIR NEIGHBORHOOD WHERE THEY CAN HAVE FUN WITH PEERS, BE THEMSELVES AND KNOW IT'S WHERE THEY BELONG. COMMUNITIES HAVE A PLACE TO COME TOGETHER AND FORGE UNBREAKABLE BONDS. AND ENTIRE SYSTEMS WORK TOGETHER TO SPARK HOPE AND ENABLE KIDS TO REACH THEIR FULL POTENTIAL. WHEN PLAYSPACE EQUITY IS ACHIEVED, KIDS WILL BE ABLE TO PLAY CLOSE TO WHERE THEY LIVE AND LEARN, AND THOSE PLAYSPACES WILL BE OF HIGH QUALITY AND BUILT WITH THE DESIRES OF THE COMMUNITY IN MIND BECAUSE THEY WERE INVOLVED FROM THE VERY BEGINNING. IN ORDER TO END PLAYSPACE INEQUITY, KABOOM! ADDRESSES THE DISPARITY BY: I. TEAMING UP WITH COMMUNITIES AND DIVERSE PARTNERS TO IMAGINE AND BUILD KID-DESIGNED HIGH-QUALITY PLAYSPACES THAT HAVE A TRANSFORMATIVE IMPACT. II. DRIVING INNOVATION IN PLAYSPACE DESIGN FOR KIDS OF ALL AGES. III. HELPING TO ENSURE EQUITABLE ACCESS TO PLAYSPACES FOR KIDS AND FAMILIES IN EVERY COMMUNITY. SINCE THE BEGINNING OF THE ORGANIZATION, KABOOM! HAS TEAMED UP WITH PARTNERS TO BUILD OR IMPROVE 17,000+ PLAYSPACES, ENGAGE MORE THAN 1.5 MILLION COMMUNITY MEMBERS AND BRING JOY TO MORE THAN 11 MILLION KIDS.
Pt XI PART III, LINE 4A: TEAMING UP WITH COMMUNITIES TO BUILD KID-DESIGNED PLAYSPACES FOR MORE THAN TWO DECADES, KABOOM! HAS TEAMED UP WITH BOLD AND DEDICATED COMMUNITY MEMBERS AND KIDS TO UNDERSTAND THEIR UNIQUE NEEDS AND DESIRES AND THEN, TOGETHER, BUILD INSPIRING PLACES TO PLAY. WITH THE EXPERIENCE OF WORKING SIDE BY SIDE WITH BOLD, DIVERSE AND INSPIRING COMMUNITY MEMBERS, KABOOM! HAS LEARNED THAT THERE'S NO "ONE SIZE FITS ALL" SOLUTION TO CREATING SPACES THAT MEET THE NEEDS OF KIDS AND THEIR FAMILIES. KABOOM! STARTS WITH A FOCUS ON UNDERSTANDING EACH NEIGHBORHOOD'S ASPIRATIONS, INCLUDING THE IDEAS AND DREAMS OF THE KIDS THEMSELVES. WITH THAT KNOWLEDGE, THEY CREATE AN APPROACH THAT WORKS FOR THE COMMUNITY AND THEN, TOGETHER BUILD INCREDIBLE PLACES TO PLAY, INSPIRED BY THEIR DESIGN, COURAGE AND LEADERSHIP. KABOOM! ENCOURAGES COMMUNITIES TO COME TOGETHER TO BUILD A PLAYSPCACE AND TO STAY TOGETHER TO USE AND TAKE CARE OF IT, SO THAT THE SPACE THEY CREATE BECOMES A VALUED KID- AND FAMILY-FRIENDLY GATHERING PLACE, AND THE COMMUNITY FEELS INCREASED OWNERSHIP AND PRIDE IN THEIR NEIGHBORHOOD. IN 2019, KABOOM! CREATED 328 PLAYSPACES, WHICH IMPACTED AN ESTIMATED 618,000 KIDS. THESE PROJECTS ENGAGED APPROXIMATELY 29,400 VOLUNTEERS IN NEARLY EVERY U.S. STATE, THE DISTRICT OF COLUMBIA, CANADA AND MEXICO. SINCE THE BEGINNING OF THE ORGANIZATION, KABOOM! HAS BUILT OR IMPROVED 17,000+ PLAYSPACES, ENGAGED MORE THAN 1.5 MILLION COMMUNITY MEMBERS AND BROUGHT JOY TO OVER 11 MILLION KIDS. KABOOM! BELIEVES ITS COMMUNITY-BUILT PLAYGROUNDS RESULT IN KIDS FEELING VALUED AND GENERATE A TANGIBLE, ACHIEVABLE WIN FOR COMMUNITIES. LOOKING TOWARD THE FUTURE, KABOOM! CONTINUES EFFORTS TO BUILD COLLECTIVE ACTION THAT ENABLES KIDS TO REACH THEIR FULL POTENTIAL.
Other PART III, LINE 4B: DRIVING INNOVATION IN PLAYSPACE DESIGN FOR KIDS OF ALL AGES KABOOM! ENABLES COMMUNITIES TO DESIGN, BUILD, ENJOY AND MAINTAIN GREAT PLAYSPACES. KABOOM! BELIEVES THE PROCESS OF BUILDING THE PLAYSPACE ALONGSIDE THE COMMUNITY RESULTS IN AN INCREASED SENSE OF COMMUNITY OWNERSHIP OF THEIR NEIGHBORHOOD AND INCREASED SKILLS, CONFIDENCE AND COURAGE TO DO EVEN MORE FOR ITS KIDS. IN ADDITION TO PLAYGROUNDS, KABOOM! OFFERS SPACES THAT ADDRESS THE GROWING NEED FOR NEW AND DIVERSE ACTIVITY OPTIONS FOR OLDER KIDS AND TEENS. TODAY, MANY TEENS, ESPECIALLY IN COMMUNITIES OF COLOR, ARE LEARNING TO RESPOND TO AND NAVIGATE CHALLENGES THAT ARE FORCING THEM TO GROW UP TOO FAST. THESE DYNAMICS IN THE HOME AND AT SCHOOL REVEAL THE NEED FOR US TO HELP PROVIDE POSITIVE OUTLETS WHERE TEENS FEEL LIKE THEY BELONG AND CAN ENJOY BEING ACTIVE WITH FRIENDS. INVESTING IN TEENS DEMONSTRATES TO THEM THAT THEY MATTER AND ARE SUPPORTED BY CARING ADULTS WHO WANT TO ENSURE THEIR VOICES ARE HEARD IN THEIR OWN COMMUNITIES AND THEY ARE GETTING OPPORTUNITIES TO ENGAGE AND ENJOY BEING KIDS FOR A BIT LONGER. MULTI-SPORT COURTS AND ADVENTURE COURSES ARE HELPING TO PROVIDE SPECIAL PLACES TO ENJOY WHERE THEY FEEL THEY BELONG, AND CAN BE ACTIVE WITH PEERS AND ENGAGE WITH THEIR COMMUNITY IN A MEANINGFUL WAY. MULTI-SPORT COURTS TRANSFORM AN OPEN CONCRETE AREA INTO A VIBRANT SPACE TO PLAY A RANGE OF SPORTS AND ACTIVITIES, FROM BASKETBALL AND SOCCER TO FOUR SQUARE. ADVENTURE COURSES OFFER AN OBSTACLE COURSE-TYPE OF RECREATION THAT ALLOWS OLDER KIDS AND TEENS TO CHALLENGE THEMSELVES THROUGHOUT THE COURSE AND ENJOY FRIENDLY COMPETITION WITH THEIR PEERS. KABOOM! ALSO INNOVATES TO BRING CREATE PLAYSPACES WHERE A PLAYGROUND MAY NOT BE POSSIBLE. THROUGH CREATIVE PLAY PRODUCTS - IMAGINATION PLAYGROUND AND RIGAMAJIG - KABOOM! PROVIDES MOBILE PLAYGROUNDS THAT CAN BE MOVED FROM SITE TO SITE, BOTH INDOORS AND OUTDOORS. KABOOM! BELIEVES THESE MOBILE PLAYGROUNDS CAN IGNITE THE IMAGINATIONS AND CREATIVITY OF ALL KIDS. IMAGINATION PLAYGROUND IN A CART IS AN INNOVATIVE DESIGN IN PLAY EQUIPMENT THAT ENCOURAGES CREATIVITY, COMMUNICATION AND COLLABORATION IN PLAY. RIGAMAJIG IS A LARGE-SCALE BUILDING KIT DESIGNED FOR HAND-ON FREE PLAY AND ENCOURAGES STEM LEARNING. PLAY EVERYWHERE CONTINUES TO ENCOURAGE CREATIVE SOLUTIONS TO MAKE PLAY A WAY OF LIFE IN EVERYDAY AND UNEXPECTED PLACES, INCLUDING ON SIDEWALKS, IN VACANT LOTS, AT BUS STOPS, IN OPEN STREETS AND BEYOND - ESPECIALLY IN COMMUNITIES WHERE KIDS OFTEN HAVE LIMITED ACCESS TO PLAYSPACES. HELPING TO ENSURE EQUITABLE ACCESS TO PLAYSPACES FOR KIDS AND FAMILIES IN EVERY COMMUNITY FAR TOO MANY KIDS LIVE IN COMMUNITIES THAT HAVE EXPERIENCED DECADES OF DISINVESTMENT, LEADING TO INEQUITABLE ACCESS TO PLAYSPACES THAT MORE DEEPLY IMPACTS COMMUNITIES OF COLOR. KABOOM! IS WORKING TO END PLAYSPACE INEQUITY, OVERCOMING THE SYSTEMIC BARRIERS THAT GET IN THE WAY OF KIDS PLAYING. WITH AN EXPLICIT GOAL OF DRIVING PLAYSPACE EQUITY: KABOOM! LEVERAGES DATA TO IDENTIFY DISPARITIES IN ACCESS TO QUALITY PLACES TO PLAY. THEY BRING TOGETHER PARTNERS WHO CAN JOIN THEM IN COLLECTIVE ACTION WITH THESE COMMUNITIES TO CREATE SPACES THAT SPARK JOY, HOPE AND LIMITLESS OPPORTUNITIES FOR KIDS. KABOOM! ALSO USES DATA TO UNDERSTAND THE IMPACT THAT PLACES TO PLAY HAVE ON THE ISSUES THAT COMMUNITIES AND PARTNERS CARE ABOUT, SUCH AS: NEIGHBORHOOD REVITALIZATION, HEALTH, COMMUNITY RESILIENCE, EARLY CHILDHOOD DEVELOPMENT AND TEEN ENGAGEMENT. KABOOM! FOCUSES ON RACIAL EQUITY SEEKING TO ADDRESS DISPARITIES IN ACCESS TO HIGH-QUALITY PLAYSPACES AND THE RELATED DISPARITIES IN OUTCOMES FOR KIDS AND COMMUNITIES. KABOOM! SEEKS TO ENSURE THAT: (I) WHERE THEY BUILD ADDRESSES RACIAL INEQUITY IN ACCESS TO QUALITY PLAYSPACES (II) THE WAY WORK IS DONE IS FLEXIBLE ENOUGH TO RESPOND TO THE UNIQUE CULTURE, CONTEXT, ASSETS AND CHALLENGES OF EACH COMMUNITY (III) MAXIMUM PLAY VALUE IS CREATED AND IS RESPONSIVE TO KIDS AND THE COMMUNITY (IV) ITS PARTNERS ARE COMMITTED TO PLAYSPACE EQUITY AND ALIGNING THEIR RESOURCES TO HELP ACHIEVE THIS (V) COMMUNICATIONS REFLECT EQUITY-BASED FOCUS THROUGH THE LANGUAGE USED WITH A COMMUNITY-RESPONSIVE, DATA-DRIVEN APPROACH AND FOCUS ON RACIAL EQUITY, KABOOM! BELIEVES IT IS UNIQUELY POSITIONED TO DIRECTLY ADDRESS PLAYSPACE INEQUITY AND WORKING TOGETHER WITH PARTNERS AND COMMUNITIES TO BUILD A HIGH VOLUME OF PLAYSPACES THAT ADDRESS THE GREATEST DISPARITIES.
Pt VI, Line 11b THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT AUDITORS AND IS REVIEWED BY THE MANAGEMENT TEAM AND AUDIT COMMITTEE. THE FORM 990 IS APPROVED BY THE AUDIT COMMITTEE. ONCE APPROVED BY THE AUDIT COMMITTEE THE FORM 990 IS SENT TO THE BOARD OF DIRECTORS AND LEGAL COUNSEL FOR REVIEW AND COMMENT AND IS APPROVED BY THE BOARD OF DIRECTORS BEFORE FILING.
Pt VI, Line 12c KABOOM!, INC. MAINTAINS A CONFLICT OF INTEREST POLICY, WHICH APPLIES TO EACH DIRECTOR AND OFFICER OF KABOOM!, THAT SEEKS TO PROTECT THE INTERESTS OF KABOOM! WHEN IT CONTEMPLATES ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF KABOOM!. THE POLICY IS INTENDED TO SUPPLEMENT APPLICABLE STATE AND FEDERAL LAWS GOVERNING CONFLICT OF INTEREST APPLICABLE TO NON-PROFIT AND CHARITABLE ORGANIZATIONS AND TO AID DIRECTORS AND OFFICERS OF KABOOM! IN PERFORMING THE DUTIES IMPOSED UPON THEM BY APPLICABLE LAW WITH RESPECT TO THEIR MANAGEMENT RESPONSIBILITIES AND FIDUCIARY OBLIGATIONS TO KABOOM!. THE CONFLICT OF INTEREST POLICY REQUIRES ANY DIRECTOR OR OFFICER, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST (DEFINED AS A GREATER THAN 5% OWNERSHIP INTEREST IN, OR COMPENSATION ARRANGEMENT WITH) OR AFFILIATE RELATIONSHIP WITH ANY PERSON OR ENTITY THAT IS INVOLVED IN AN ACTUAL OR POTENTIAL TRANSACTION WITH KABOOM!, TO DISCLOSE THE EXISTENCE OF SUCH FINANCIAL INTEREST OR AFFILIATE RELATIONSHIP TO THE CHAIRPERSON OF THE BOARD OF DIRECTORS AND THE CHAIRPERSON OF THE GOVERNANCE AND NOMINATING COMMITTEE. IN ADDITION TO THE GENERAL DUTY TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, THE POLICY REQUIRES EACH DIRECTOR AND OFFICER TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT THAT, AMONG OTHER THINGS, DISCLOSES ANY SUCH FINANCIAL INTEREST OR AFFILIATE RELATIONSHIP. FOLLOWING DISCLOSURE OF SUCH FINANCIAL INTEREST OR AFFILIATE RELATIONSHIP, THE POLICY PROVIDES FOR THE MATTER TO BE REFERRED TO THE BOARD OR THE GOVERNANCE AND NOMINATING COMMITTEE, WHICH THEN DETERMINES WHETHER SUCH INTEREST OR RELATIONSHIP CREATES A CONFLICT OF INTEREST IN RESPECT OF SUCH DIRECTOR OR OFFICER AND, IF SO, SUCH DIRECTOR OR OFFICER MAY PROVIDE INFORMATION OR INTERPRETATION WITH RESPECT TO SUCH MATTER BUT SHALL OTHERWISE REFRAIN FROM PARTICIPATING IN CONSIDERATION OF THE MATTER.
Pt VI, Line 15a KABOOM!, INC. MAINTAINS AN EXECUTIVE COMPENSATION POLICY WITH THE OBJECTIVE OF PROVIDING A REASONABLE AND COMPETITIVE EXECUTIVE TOTAL COMPENSATION OPPORTUNITY CONSISTENT WITH MARKET-BASED COMPENSATION PRACTICES FOR INDIVIDUALS POSSESSING THE EXPERIENCE AND SKILLS NEEDED TO MANAGE AND IMPROVE THE OVERALL PERFORMANCE OF THE ORGANIZATION. THE KABOOM! EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO, AMONG OTHER THINGS: 1) ENCOURAGE THE ATTRACTION AND RETENTION OF HIGH-CALIBER EXECUTIVES; 2) PROVIDE A COMPETITIVE TOTAL COMPENSATION PACKAGE, INCLUDING BENEFITS; 3) STRONGLY SUPPORT A PERFORMANCE DRIVEN CULTURE THROUGH THE USE OF INCENTIVES FOR KEY EMPLOYEES; 4) REINFORCE THE GOALS OF THE ORGANIZATION BY SUPPORTING TEAMWORK AND COLLABORATION; 5) ENSURE THAT PAY IS PERCEIVED TO BE FAIR AND EQUITABLE; 6) BE FLEXIBLE TO REWARD INDIVIDUAL ACCOMPLISHMENTS AS WELL AS ORGANIZATIONAL SUCCESS; AND 7) BALANCE THE NEED TO BE COMPETITIVE WITHIN THE LIMITS OF AVAILABLE FINANCIAL RESOURCES. THE KABOOM! EXECUTIVE COMPENSATION PROGRAM IS ADMINISTERED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR ESTABLISHING AND MAINTAINING A COMPETITIVE COMPENSATION PROGRAM FOR ALL SENIOR EXECUTIVES OF THE ORGANIZATION. TO EVALUATE AND BENCHMARK THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM AGAINST THE COMPETITIVE MARKET, AN INDEPENDENT CONSULTING FIRM CONDUCTS A BI-ANNUAL REVIEW INTENDED TO ENSURE THAT THE COMPENSATION PROGRAM FALLS WITHIN A REASONABLE RANGE OF COMPETITIVE PRACTICES FOR COMPARABLE POSITIONS AMONG SIMILARLY SITUATED ORGANIZATIONS. THE FINDINGS ARE REVIEWED BY THE BOARD WHO MEETS AS NEEDED TO REVIEW THE COMPENSATION PROGRAM AND MAKE ANY CHANGES, AS APPROPRIATE. THE EXECUTIVE COMMITTEE REVIEWS ANNUALLY AND SUBMITS FOR BOARD APPROVAL ITS RECOMMENDATIONS REGARDING THE BASE SALARY ADJUSTMENTS AND ANNUAL INCENTIVE PAYMENTS, AS WELL AS OBJECTIVES AND GOALS FOR THE UPCOMING YEAR'S ANNUAL PERFORMANCE APPRAISAL AND INCENTIVE PLAN FOR THE CEO. THE CEO DETERMINES THE COMPENSATION AND INCENTIVE AWARDS FOR THE OTHER EXECUTIVE OFFICERS. AFTER THE COMPLETION OF THE ANNUAL AUDIT, THE EXECUTIVE COMMITTEE REVIEWS, APPROVES AND REPORTS TO THE BOARD THEIR ASSESSMENT OF THE CEO'S ACTUAL PERFORMANCE MEASURED AGAINST BOARD APPROVED GOALS AND OBJECTIVES. AT SUCH TIME THE FINANCE COMMITTEE ALSO REVIEWS AND RECOMMENDS AND SUBMITS FOR BOARD APPROVAL THE INCENTIVE PAYMENTS FOR ALL OTHER OFFICERS AS MEASURED AGAINST THE BOARD APPROVED INCENTIVE PLAN. IN ADDITION, THE BOARD HAS ADOPTED AN EXECUTIVE COMPENSATION CLAWBACK POLICY, PURSUANT TO WHICH KABOOM!, SUBJECT TO THE FULL AND FINAL AUTHORITY OF THE BOARD TO MAKE ALL DETERMINATIONS REQUIRED THEREUNDER, SHALL SEEK REIMBURSEMENT OF PERFORMANCE-BASED AND/OR DISCRETIONARY COMPENSATION PAID TO AN EXECUTIVE OFFICER OF KABOOM! IF THE BOARD DETERMINES THAT THE AMOUNT OF ANY SUCH PERFORMANCE-BASED AND/OR DISCRETIONARY COMPENSATION ACTUALLY PAID OR AWARDED TO A CURRENT OR FORMER EXECUTIVE OFFICER DURING THE ONE-YEAR PERIOD PRECEDING THE DATE ON WHICH KABOOM! IS REQUIRED TO PREPARE SUCH RESTATEMENT WOULD HAVE BEEN A LOWER AMOUNT HAD IT BEEN CALCULATED BASED ON SUCH RESTATED FINANCIAL STATEMENTS OR SUCH EXECUTIVE OFFICER ENGAGED IN FRAUD OR INTENTIONAL MISCONDUCT THAT CONTRIBUTED TO THE NEED FOR SUCH RESTATEMENT OR RESULTED IN ERRONEOUS CALCULATIONS OF PERFORMANCE-BASED AND/OR DISCRETIONARY COMPENSATION.
Pt VI, Line 15b SEE LINE 15A NARRATIVE ABOVE.
Pt VI, Line 19 KaBOOM!, INC. INCLUDES ON ITS WEBSITE COPIES OF ITS AUDITED FINANCIAL STATEMENTS AND ITS FORM 990 FOR THE PAST FIVE YEARS. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.
Other PART VI-B LINE 16 IMAGINATION PLAYGROUND, LLC IS A DELAWARE LIMITED LIABILITY COMPANY OWNED BY KABOOM! AND MHSCO HOLDINGS, LLC, AN AFFILIATE OF THE M.H. STALLMAN COMPANY, A MANUFACTURER OF CERTAIN IMAGINATION PLAYGROUND PLAY EQUIPMENT. IMAGINATION PLAYGROUND, LLC FOCUSES ON THE DESIGN, DEVELOPMENT, PRODUCTION, MANUFACTURING, MARKETING, DISTRIBUTION, SALES AND INSTALLATION OF PLAY SPACES AND RELATED PLAY EQUIPMENT ASSOCIATED WITH THE IMAGINATION PLAYGROUND CONCEPT WHICH WAS CONCEIVED AND DESIGNED BY ARCHITECT DAVID ROCKWELL TO ENCOURAGE CHILD-DIRECTED, UNSTRUCTURED "FREE-PLAY." IMAGINATION PLAYGROUND, LLC IS MANAGED BY A SEPARATE BOARD CONSISTING OF ITS CHIEF EXECUTIVE OFFICER AND TWO DESIGNEES APPOINTED BY EACH OF KABOOM! AND MHSCO HOLDINGS, LLC. IN ADDITION, IMAGINATION PLAYGROUND, LLC IS A VENDOR TO KABOOM!, WHICH FROM TIME TO TIME MAY PURCHASE IMAGINATION PLAYGROUND PRODUCTS FROM THE JOINT VENTURE ON BEHALF OF CERTAIN COMMUNITIES THAT MAY RECEIVE SUCH PRODUCTS IN CONNECTION WITH KABOOM!-LED PLAYGROUND BUILDS OR KABOOM!-ADMINISTERED GRANT PROGRAMS.
Other PART I LINE 16B AND PART III LINES 4A AND 4B: KABOOM!, INC. INCURS BUSINESS DEVELOPMENT COSTS RELATED TO CONTRACTED SERVICE REVENUE AS WELL AS TO GRANTS AND CONTRIBUTIONS RECEIVED. THE DEVELOPMENT COSTS RELATED TO CONTRACT SERVICES PERTAINING TO FACILITATING THE CREATION OF COMMUNITY BUILT PLAY SPACES UNDER UNDER LINE 4A OF PART III WERE $1,452,798. THE DEVELOPMENT COSTS PERTAINING TO DRIVING INNOVATION IN PLAY SPACE DESIGN AND HELPING CITIES MAKE PLAY THE EASY CHOICE FOR KIDS AND FAMILIES UNDER LINE 4B OF PART III WERE $66,779. THE DEVELOPMENT COSTS PERTAINING TO FUNDRAISING FOR GRANTS AND CONTRIBUTIONS UNDER LINE 16B OF PART I PERTAINING TO THE REVENUES REPORTED ON LINE 8 OF PART I - CONTRIBUTIONS AND GRANTS WERE $1,060,371.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 19009670
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
KaBOOM INC
 
Employer identification number

52-1970904
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) KaBOOM PLAY INITIATIVES LLC
4301 CONN AVE NW ML-1
WASHINGTON,DC20008
46-5154156 		PLAY PRODUCTS DE 397,264 358,536 KABOOM INC
 










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
 
f Dividends from related organization(s) ............................
1f
 
 
g Sale of assets to related organization(s) ............................
1g
 
 
h Purchase of assets from related organization(s) ............................
1h
 
 
i Exchange of assets with related organization(s) ............................
1i
 
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
 
o Sharing of paid employees with related organization(s) ............................
1o
 
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
 
s Other transfer of cash or property from related organization(s) ............................
1s
 
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
PART 1 KABOOM! PLAY INITIATIVES, LLC ("KPI"), A WHOLLY OWNED SUBSIDIARY OF KABOOM!, INC., IS A DELAWARE LIMITED LIABILITY COMPANY THAT WAS FORMED IN 2013 TO PURSUE CERTAIN PLAY INITIATIVES IN FURTHERANCE OF KABOOM!'S MISSION. AMONG OTHER THINGS, KPI UNDERTAKES ACTIVITIES DESIGNED TO CONNECT SELLERS AND BUYERS OF INNOVATIVE PLAY OR PLAY-RELATED PRODUCTS. WHILE KPI DOES NOT OWN OR SELL SUCH PRODUCTS, IT DOES PROVIDE CERTAIN PAYMENT PROCESSING SERVICES AND MANAGES ORDER FULFILLMENT FOR SUCH PRODUCTS (AMONG OTHER ANCILLARY SERVICES PROVIDED BY KPI IN CONNECTION WITH SUCH ACTIVITIES). SELLERS COMPLETING SALES IN CONNECTION WITH SUCH ACTIVITIES CONTRIBUTE TO KPI A PORTION OF THE SALES PRICE PAID FOR EACH PRODUCT AS AN DONATION WITHOUT RESTRICTION TO SUPPORT KABOOM!'S MISSION.
Schedule R (Form 990) 2019

Additional Data


Software ID: 19009670
Software Version: