TY 2019 Form 990EZ

- TIN:

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

Media Island International

Employer identification number

91-1514384

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


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

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)		(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.") ..	141,093	242,381	106,196	103,843	41,496	635,009
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....						0
3	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
4	Total. Add lines 1 through 3	141,093	242,381	106,196	103,843	41,496	635,009
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..						0
6	Public support. Subtract line 5 from line 4.						635,009

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..	141,093	242,381	106,196	103,843	41,496	635,009
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...						0
9	Net income from unrelated business activities, whether or not the business is regularly carried on..						0
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..						0
11	Total support. Add lines 7 through 10						635,009

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

100.000 %

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

0 %

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

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)		(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)	0

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

0 %

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

0 %

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

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

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:	19009670
Software Version:

- TIN:

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

Media Island International

Employer identification number

91-1514384

Return Reference	Explanation
Pt III, Line 31	Indigenous Cultural Concepts (ICC) is an organization which promotes traditional Indigenous knowledge, educates about cultural imperatives to help protect the earth and future generations. Louise Benally is the Director of ICC and is a Grandmother, Mother, farmer, rancher, traditional counselor, advisor, herbalist, environmental and human rights defender, health educator, permaculture teacher, cultural consultant and Dineh translator. Since the 1970's, Louise and her family have been resisting relocation and coal mining at Big Mountain on Black Mesa. For the last many years, she & many traditional people ICC has supported have traveled to and presented at dozens of local, national & international gatherings as well as being a part of frontline struggles with communities in Indian country. There has been an increase in the activity to educate the Navajo population and governing bodies to transition away from reliance on the Navajo Generating Station coal fired power plant, to shut it down once and for all, along with shutting down the Kayenta coal mine which has fueled it since it began operations in 1974. That was the same year as the Navajo-Hopi Relocation Act was passed by the US Congress. This genocidal act began the decades long forced relocation of thousands of traditional indigenous residents form their sacred ancestral homelands. The work of ICC and others has had a significant impact on the eventual decision to shutter the plant and mine, keeping it in the ground, as of decisions made by the Navajo Nation Tribal Council in May 2019. 2019 funds were spent spent on these areas: Travel/gas/food; Outreach/Education; Material supplies/fees.
Pt III, Line 31	Music Mentors Academies are innovative music residency programs that promote culture, health and help prevent addiction with tribal youth. We teach students how to write, record and perform their original musical messages with a year-long commitment as peer educators in community wide activities. This Project involves developing an original tribal youth created music CD to be used by the Puyallup tribe as a giveaway during the Paddle to Lummi Nation 2019. The CD will include recordings from Puyallup, Nisqually, Squaxin Island, Muckleshoot, Nooksack, Chehalis, Yakama, Swinomish, Colville and Lummi tribal youth. Tribal Canoe Journeys is a celebrated event for the Indigenous peoples of the Pacific Northwest Coast. Indigenous Nations from the coast of Tribal Canoe Journeys is a celebrated event for the Indigenous peoples of the Pacific Northwest Coast. Indigenous Nations from the coast of cothers made using more modern techniques and materials -- and visit Native Communities en-route to the final host destination. The CD explores young people's experiences, prevention ideas and coping skills in relationship to addictions, substance abuse, suicide prevention and health promotion. The program supports youth health promotion and prevention, through songs and music messages created by tribal youth for their peers, schools and communities. This CD was created in the spring of 2019 and delivered in summer of 2019 to the Puyallup tribe Canoe families, Puyallup Tribal chairman and leadership, Puyallup Education Department and participants at Paddle to Lummi 2019. The CD will be distributed to counselors and educators for use in the Puyallup tribal community. Funds were spent creating a youth created health promotion music CD for the Lummi 2019 canoe journey and all expenses to deliver the music CD. Budget: Expenses for curriculum and multimedia development; Tribal youth created CD, duplication, graphic arts and packaging; & Professional Services, Budget & Expenses; CD recording editing and mastering; Todd Denny, program director, curriculum development; Misc. travel expenses.
Pt III, Line 31	In 2019, Rising Tide North America engaged in three main areas of work, an international resistance tour, ongoing training and support for different climate struggles, support for smaller climate campaigns. International Resistance Tour: Ende Gelaende, out of Germany, is an organization that is dedicated to strong resistance against the lignite coal mines of Germany. Ende Gelaende has a unique way of telling its story of mass resistance, including how they organize, train and their tactics. Rising Tide's feeling was that our ways of direct action in the United States are often stale and fairly rote, so we brought Ende Gelaende on a US-wide tour. Four members of Ende Gelaende, two on the East Coast and two on the West Coast embarked on respective three week tours. The tours featured a general presentation at each stopped, and in many cases Ende Gelaende organizers participated in larger strategy meetings as well. On the West Coast, Ende Gelaende went from Olympia Washington all the down to Los Angeles. The East Coast tour started in Massachusetts, went through Vermont, New York, Pennsylvania, Maryland, Appalachia, St. Louis and ended in Minnesota. The Ende Gelaende tour saw meetings at Universities, with local chapters of 350.org, with grassroots activists, and with indigenous activists, especially in Northern Minnesota. The Climate Disobedience Center used the Ende Gelaende Tour as its template for its #bucketbybucket actions in the fall of 2019. Members of the Rising Tide Collective have participated in a wide variety of trainings and training support throughout 2019. Collective members provided training and campaign strategy for folks in Appalachia, Minnesota, Texas, Oregon, DC and California. Rising Tide provided the framework for the giant mural painted in the San Francisco Financial District in September, and also for the 22 organizations participating in ShutdownDC. Rising Tide Collective members strive always to center People of Color and indigenous led organizations, and San Francisco was indigenous led whereas Black Lives Matter and migrant justice groups played a significant role in DC. Rising Tide also provided direct assistance to groups leading campaigns against extraction throughout 2019. Similar to 2018, a good chunk of money went to indigenous led leadership pushing back against Line 3 in Northern Minnesota. Rising Tide also is supporting a trainers switchboard, the DC and San Francisco actions, a multiracial coalition taking action at the airport in St. Louis, and work in Appalachia around the Mountain Valley Pipeline. Rising Tide Collective members also participated in Southern Arizona with No More Deaths, on doorknocking, water drops, and getting support for those facing trial for supporting migrants. Of Rising Tide's 501c3 eligible budget, about 40% went to the Tour, 25% to trainings and 35% to minigrants for actions, containers and trainers.
Pt III, Line 31	Tikun Olam is a political blog dedicated to the Israeli national security state. It reports on news which is often either censored or under Israeli judicial gag order. Many of these stories report on wrongdoing by Israeli political or military officials or intelligence agencies which would embarrass them if reported. Often the stories may not be reported in Israeli media at all. Thus Tikun Olam serves as an important outlet both for Israeli and foreign media who are blocked from important stories. In some cases, Tikun Olam has also reported on secret intelligence collaborations between the NSA and Israeli military intelligence. The blog also defends democratic values, free speech and free press, which are under constant attack in Israel. It offers discussion of ideas and values like BDS and Nakba, which are either criminalized or suppressed under Israel law. Tikun Olam also makes use of social media accounts to promote these ideas and the visibility of the blog. Tikun Olam has large followings on both Twitter and Facebook. Because of this presence, these accounts are often under attack from forces seeking to promote Israeli policies of Occupation and apartheid. Israeli judges and the military censor have also ordered these social media platforms to censor a number of postings which supposedly violated Israeli law. This has the effect of expanding the jurisdiction of Israeli courts far beyond the shores of Israel, which is another restriction of free speech. Funds were spent on online streaming, hosting and programming costs, and some additional equipment upgrades and maintenance
Pt III, Line 31	As off July 2019 Rain Forrest Action Network Grant was applied to the on going efforts to end Peabody Energy's Black Mesa Mine on Black Mesa, Az. This battle for humans rights and Environmental Justice has be an on going effort For the last 40 plus years. As of August 2019 the mining operation started to shut down: The ground water table has dropped by over 200 feet or more, surface waters and natural spring have dried up in the black mesa region the Navajo aquifer has been the only water source for this region, reports of sinkholes are being reported, climate change is impacting this region with shrubs, trees are dying out by the masses. The aquifer has been the regulator to attract moisture in the pass rain and snow. But, with it being drawn down to far it has not been able to bring much rain or snow, for the last few years it has been getting worst. Also, the mean reason for Indigenous Cultural Concepts began to organize against fossil fuels operations and development over forty years of methane caused by coal burning coal fire power plants, there has been six coal power plants surrounding our Navajo Nation with our community organizing and educating we are able to shut two of them down Navajo Generating station near Page, AZ which was being feed by Peabody Coal Company since 1968. This operation had devastated our in a big way until that it has shut down, caused the forced removal of over 10,000 Navajos from their homelands and 300 Hopis to be removed too. Land, water, environmental Contaminations which is our next steps to be addressing, we have began to do out in the field training of soil and water sampling since three years ago on to now and into the near future, we have began also to provide water filters for community members that need them and provide training into setting these up in homes in partnerships with school of engineering from University of California Los Angeles. ICC has also, been working with communities impacted by Fracking in oil and gas development areas on the eastern side of our Navajo Nation which is in New Mexico around the Chaco Canyon Area. As of today, 12/18/19 the our advocates hand-delivered thousands of protests letters to the Bureau of Land Management calling for No New Leases. Tribal governments, as well as thousands of people and more than a dozen of citizens groups representing over five million members called on the Trump administration to cancel its plan to lease nearly 15,000 acres of ancestral tribal and federal public lands in New Mexico for fracking. These developments impacts environmental health of our communities including water and air. ICC has a Native Food ways educational component too, in which we provide reintroduction of native foods to the youth and teach them the health benefits of our old foods ways, we teach food harvesting from the wild, processing and cooking demonstration. Along with this we teach about water education for the health benefits and encourage drinking more water and less sugary drinks, we show short films which we document elders and their teaching and knowledge share of food and water. We promote health education through this diabetes prevention. RAN Award of 2,500.00 water tank, sink and water discharge system with solar for one elder. 1,200.00 water filters, hoses, sinks and small tanks 1,000.00 travel expense, gas, food, tools 300.00 Environmental Justice work support from Lyla June Johnson: Travel for native food ways work 5,000.00 Environmental Justice Work: Black mesa mine closure /Navajo Generating Station/ 5,000.00 New Mexico- Anti-gas and oil work. Communication 1,000.00 Currently we are focused on Green energy, we will be hosting a green energy meeting in Shonto, AZ on the Navajo Nation sometimes in March of 2020
Other	The Women of Color in Leadership Movement (WCLM), was founded in 2015 and became sponsored by Media Island in 2016, within that short time we were able to accomplish much of our goals for the year that helped us build our foundational roots. We have been able to have monthly support group meetings, and support one another with shared resources, ideas, fundraising, training and organizing. WCLM has participated in various cultural events that support our communities, such as our local activists and their events. Our newly developed partnerships connects with both local and international organizations that focus on women of color and their empowerment and leadership. We have participated in workshops, cultural festivals, trainings and workshops, and have been able to send some of our members to these events. We have been able to support our members in leading their own workshops and presentations as well as supported them in their cultural artistic efforts. We have also been able to offer some support to students of the Evergreen State College, who were affected by the current racial tensions on campus, and in the community of Olympia. Our future goal is to bring more guest speakers such as bell hooks, Tim Wise, spokesperson and activist on racial issues, as well as women from our local Native tribes. These speakers would be able to address many of the issues around race, class, and gender, as well as the effects of colonization on Black and Brown peoples. We also hope to send groups of the women to conferences and workshops statewide and enable them to make international connections as well to help foster their resiliency tools.
Other	Aboriginal Lens is an independent film production company started in 2006 by Navajo filmmaker Sarah Del Seronde. We aim to create quality content for public television broadcast. Aboriginal Lens is dedicated to strengthening Native voices. We also help facilitate filmmaking workshops on American Indian reservations. The importance of our cultural background and the Navajo language cannot be understated and at the core of our projects - community based collaboration with Navajo scholars, elders, and Navajo filmmakers allow Navajo voices to be inserted into the historical and political record of American life. In 2018, MII helped to research and develop a public television media program called K'eh (Clans), a documentary film on the breakup and migration of the southern Dine from the northern Dene groups. This feature film is in the pre-production phase documenting the largest of the Athabascan linguistic groups in North America. Funds supported the media personnel, cultural historians and consultants, research costs, and travel.
Other	Lindsey Manning is an indigenous elder living on the Duck Valley Indian Reservation, which is a sovereign nation located around of what is commonly referred to as the border of Idaho & Nevada. Mr. Manning has undertaken a 3 year project to continue his scholarly work on up to 3 manuscripts or a book chronicling the history and culture of his people and the region as well as an autobiography. Mr. Manning is retired and with his wife semi-retired. Beyond their direct hours researching and writing, the grant afforded them the ability to maintain their household, cover transportation, and the purchase a writer's laptop computer, software & accessories. As the result of this grant, the project is started and well underway. They have garnered reports and reference books that assist the portrayal of their history. They have traveled locally and intend to extend to the regional resources in the coming year. They have begun Lindsey's life biography manuscript, compiled and drafted incidents, and they have begun their family history through early tribal census documents and oral histories. Work includes contemporary research on origins reviews, utilization of a local prophet for teachings on the origins of our tribes which the Uto-Aztecan theory agrees and coincides. Conflicting accounts of well written contemporary historians specific to the two tribes is being meshed into portrayal of conflict, treaties and confinement specific to Duck Valley. Mr. Manning has re-typed word-for-word (thus digitizing) 31 years of Indian Agent and Farmer in Charge, and School Superintendent reports to the Commissioner of Indian Affairs for Duck Valley Reservation and the Western Shoshone Agency, and done the same to information on the establishment of the Reservation, making it a permanent reservation for the Shoshone-Paiute. He has also compiled information on the Duck Valley Water Rights settlement and the struggles to protect sacred lands of our ancestors. His research and writing includes footnotes and bibliographies.
Other	Prison Radio's mission is to air the voices of prisoners, and in doing so, to reveal the humanity within the walls, combining investigative reporting with a large-scale public education campaign. They challenge the mainstream media to tell the truth-and the whole truth- about this nation's reliance on imprisonment for social control. Prison Radio (PR) was founded on the principle that a valid national dialogue about our modern prison system must centrally include the voices of prisoners. PR was launched in 1990 with the mission of recording and distributing the voices of those most impacted by America's (in)justice system. As the United States continues to practice imprisonment in a way never before seen in the history of the world and on a scale that surpasses any other nation, PR combats this reality by opening the airwaves to prisoners to share their testimony and connect with social movements for justice. PR built and maintains a website where audio recordings of prisoners are available for listening and download for radio stations worldwide, serving hundreds of stations and thousands of people around the world. While PR organizes an international campaign to support American political prisoner Mumia Abu-Jamal, supporting his and all prisoners' legal rights, right to decent health care, and the right to have their voices heard, their program's work is evolving in concert with dramatic new legal developments. Meanwhile, PR is at the center of a legal battle for Mumia Abu-Jamal's right to appeal his original case. The implications of his case will reverberate throughout the state of Pennsylvania as well as the rest of the country. PR is also developing the voices of prison correspondents who are typically underrepresented in our mediaD including LGBTQ prisoners, women, and immigrants in ICE detention centers. In 2018, with the help of this grant, PR worked to successfully publish another of Mumia Abu-Jamal' s books, America' s Favorite Pastime, which came out in April 2019.
Other	Midwest Two-Spirit, Trans, Womxn Action Camp (TTWAC) is a collection of TTW identifying individuals who have been fighting the proposed Line 3 oil pipeline in so-called northern Minnesota. The campaign against this project has been multifaceted. Legal intervention is being attempted by 5 of the northern Ojibwe tribes, as well as NGOs such as Honor the Earth, Friends of the Headwaters & the Sierra Club. Indigenous-led resistance on the ground has been spearheaded by Camp Makwa, a direct-action oriented frontline camp. Grassroots resistance in the Minneapolis/St. Paul area is being done by such groups as Line 3 Resistance Project, who organize trainings, reaching out to landowners, raising awareness along the route and gather information in preparation for permitting. Folks organizing TTWAC are or have been involved with these aspects of the campaign. TTWAC focuses on uplifting indigenous voices, being fiercely anti-colonial & offering a space for two-spirit, trans and women-identified folks to come together relatively free of the influence and dominance of cis-gendered men. TTWAC hopes to strengthen relationships between participants for the continued fight against Line 3, equip folks with necessary skills to resist Line 3 as well as support/uplift each other, and create a long-term encampment where folks can challenge each other and push back against forms of oppression other than patriarchy. In June & August, 2018, TTWAC held two different action camps. One focused on learning direct action skills, and the second focused more solely on climbing. Both were held on a piece of land along the proposed Line 3 route, a site chosen because its existence exercises treaty rights by occupying the land. The trainings provided strengthened the radical community by passing on skills that are not as readily available to two-spirit/trans/women folks.
Pt III, Line 31	part of Media Island's focus and goal to empower women and their leadership as well as educating and enhancing our community's awareness of culturally relevant issues, MII partnered with other organizations such as The Evergreen State College and several class programs, the Women of Color in Leadership Movement, and The City of Olympia, to bring Rosa Clemente to Olympia for a lecture and workshop which was offered to the community for no cost. Rosa Clemente is an Afro-Puerto Rican journalist and scholar-activist who researching national liberation struggles inside the United States, Afro-Latinx identity and politics, sexism within Hip-Hop culture, media justice, Hip-Hop activism, and African American and Latinx unity. Rosa`s lecture and workshop in Olympia focused on centering women of color in social justice movements and their leadership, as well as using hip-hop and other forms of art and media, including radio, in social justice movements. The lecture was well attended by over 200 people, and the 2 hour workshop also served over 100 active participants, including students and others from the wider community. Of the total funds pooled by the sponsoring organizations, MII contributed to the honorarium to cover Rosa's travel, lodging & other costs.
Other	KOWA 106.5 FM Olympia Radio is a fully licensed low power FM radio station serving Olympia, WA. Founded by Media Island International, KOWA is a non-profit radio station whose mission is to give voice to individuals, organizations and movements working for gender, racial, and social justice, economic democracy, ecological sustainability, and environmental justice. Our goal is to help build the foundation which could enable actual peace. KOWA is a Pacifica Network affiliate and airs many amazing programs from across the country and around the world, including the daily & weekly news programs Democracy Now!, Hard Knock Radio, Rising Up With Sonali, Sojourner Truth, the Ralph Nader Radio Hour, Alternative Radio, Native America Calling, Black Agenda Radio, and many more. Our intentional programming which includes the Feminist Hour, Progressive Masculinity, our LGBTQ+ segments and our Progressive Comedy and Spoken Word shows all help move us forward in the ongoing work to help get these underrepresented voices out into the community. Funds were spent on online streaming, hosting and programming costs, and some additional equipment upgrades and maintenance.
Other	Media Island International maintains and is working to improve a Pro-Active Library and resource center located in downtown Olympia, Washington's state capitol. Books, magazines, journals, video and audio tapes, electronic files as well as hard copy files of documents and books on subjects relating to the organization's mission, including Indigenous cultural survival, human and civil rights, international law, women's issues, racial inequality, civil rights of all kinds, civic participation in political and social issues, democracy of the media, as well as economic justice and ecological integrity. 2018 funds were spent on acquisitions.
Other	Part II, Line 26: Long Term No Interest Loan
Form 990EZ, Part I, Line 10	operational support; small granting; Black Mesa Indigenous Support: PO Box 672, Floyd, VA, 24091; sub-grantee, 1116.
Form 990EZ, Part I, Line 10	operational support; small granting; Indigenous Cultural Concepts: PO Box 7204, Olympia, WA, 98507; sub-grantee, 0.
Form 990EZ, Part I, Line 10	operational support; small granting; Music Mentors: PO Box 7204, Olympia, WA, 98507; sub-grantee, 2375.
Form 990EZ, Part I, Line 10	operational support; small granting; RTNA - Rising Tide North Americ a: 100 S Broad St, Box 22521, Philadelphia, PA, 19110; sub-grantee, 13847.
Form 990EZ, Part I, Line 10	operational support; small grants; Tikun Olam : PO Box 42671, Portland, OR, 97242; sub-grantee, 1727.
Form 990EZ, Part I, Line 16	Other expenses 2775.

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:

1	Contributions, gifts, grants, and similar amounts received ....................	1	41,496
2	Program service revenue including government fees and contracts ................	2	0
3	Membership dues and assessments .............................	3	0
4	Investment income ....................................	4	0
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b	0
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c	0
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b	0
c	Less: direct expenses from gaming and fundraising events ...	6c	0
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d	0
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b	0
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c	0
8	Other revenue (describe in Schedule O) ....................	8
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	41,496

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? communicating unpublished information
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 Black Mesa Indigenous Support (see description in Schedule O) (Grants $ 1,829) If this amount includes foreign grants, check here ...			28a	1,829
29 ICC - Indigenous Cultural Conce pts (see description in Schedule O) (Grants $ 0) If this amount includes foreign grants, check here ...			29a	0
30 Music Mentors (see description in Schedule O) (Grants $ 2,375) If this amount includes foreign grants, check here ...			30a	2,375
0 (Grants $ 15,574) If this amount includes foreign grants, check here ...		15,574
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32	19,778

(a) Name and title	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
Shawna Hawk President	30.00	0	0	0

(a) Name and title of each employee	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
NONE

(a) Name and business address of each independent contractor	(b) Type of service	(c) Compensation
NONE

10	Grants and similar amounts paid (list in Schedule O) ................	10	19,065
11	Benefits paid to or for members ......................	11	358
12	Salaries, other compensation, and employee benefits ................	12
13	Professional fees and other payments to independent contractors ............	13	1,639
14	Occupancy, rent, utilities, and maintenance ...................	14	8,314
15	Printing, publications, postage, and shipping ...................	15	193
16	Other expenses (describe in Schedule O) ...................	16	2,775
17	Total expenses. Add lines 10 through 16 .................	17	32,344

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	9,152
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19	48,159
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	57,311

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