Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 6,376 | 41,289 | 66,576 | 43,761 | 25,752 | 183,754 |
| 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 | 6,376 | 41,289 | 66,576 | 43,761 | 25,752 | 183,754 |
| 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. | 183,754 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 6,376 | 41,289 | 66,576 | 43,761 | 25,752 | 183,754 |
| 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 | 183,754 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 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 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 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 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part I, line 8 | Other Revenue: LOYALTY POINTS Amount: 175 |
| Part I, line 10 | Activity: SCHOLARSHIPS Grantee Name: MIA GIBSON Grantee Address: 230 EASTWOOD CIRCLE WINDSOR CT 06095 Amount: 400 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: MIKAYLA HOLNESS Grantee Address: 80 EVERGREEN AVENUE HARTFORD CT 06105 Amount: 400 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: VICTORIA PHILLIPS Grantee Address: 3 HICKORY LANE BLOOMFIELD CT 06002 Amount: 2300 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: BRIANNA BROWN Grantee Address: 3 WATERFORD PLACE AVON CT 06001 Amount: 400 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: JADA DEVONISH Grantee Address: 25 HAZEL STREET HARTFORD CT 06106 Amount: 400 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: JORDYN WILLIAMS Grantee Address: 24 FAIR FIELD LANE BLOOMFIELD CT 06002 Amount: 400 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: NATHANIEL DAVIS Grantee Address: 99 PLAINFIELD STREET HARTFORD CT 06112 Amount: 400 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: JESTINA GILBERT Grantee Address: 287 WOODYCREST DRIVE EAST HARTFORD CT 06118 Amount: 400 Relationship: |
| Part I, line 10 | Activity: SCHOALRSHIP Grantee Name: ZAYNN GORDON Grantee Address: 111 CIMARRON ROAD MIDDLETOWN CT 06457 Amount: 400 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: KADRI WILLIAMS Grantee Address: 67 ARROWBROOK ROAD WINDSOR CT 06095 Amount: 800 Relationship: |
| Part I, line 10 | Activity: SCHOALRSHIP Grantee Name: DEZIAR ROSE DANIELS Grantee Address: 42 OAK STREET MIDDLETOWN CT 06457 Amount: 800 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: DESEAN JONES Grantee Address: 32 ALLEN DRIVE HARTFORD CT 06106 Amount: 800 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: ASYERA CLARKE Grantee Address: 35 GABB ROAD BLOOMFIELD CT 06002 Amount: 800 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: ZENAE LEWIS Grantee Address: 203 STANDISH STREET HARTFORD CT 06114 Amount: 800 Relationship: |
| Part I, line 10 | Activity: SCHOALRSHIP Grantee Name: ELYECE PATTERSON Grantee Address: 35 BURLINGTON STREET HARTFORD CT 06112 Amount: 800 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: JADEN DEVONISH Grantee Address: 25 HAZEL STREET HARTFORD CT 06106 Amount: 800 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: ELLIS WINFREE Grantee Address: 13 BARN HILL ROAD BLOOMFIELD CT 06002 Amount: 800 Relationship: |
| Part I, line 10 | Activity: SCHOALRSHIP Grantee Name: ALEXIS REID Grantee Address: 36 BERRIOS HILL RD WINDSOR CT 06095 Amount: 800 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: MICHAEL COLLINS JR Grantee Address: 376 TUNXIS AVENUE BLOOMFIELD CT 06002 Amount: 850 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: PANASHE MUTSENGI Grantee Address: 29 CLIFFMOUNT DR BLOOMFIELD CT 06002 Amount: 850 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: TRINITEE WILLIAMS Grantee Address: 298 ROOD AVE WINDSOR CT 06095 Amount: 850 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: INDYA LUMPKIN Grantee Address: 44 ARROWBROOK ROAD WINDSOR CT 06095 Amount: 950 Relationship: |
| Part I, line 10 | Activity: SCHLARSHIP Grantee Name: EMMANUEL FORBES Grantee Address: Amount: 1000 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: CHRISTINA SZACHON Grantee Address: 461 TUNXIS AVE BLOOMFIELD CT 06002 Amount: 1050 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIPS Grantee Name: AMARI JONES Grantee Address: 26 HAYDEN AVENUE WINDSOR CT 06095 Amount: 1050 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: NERISSA GRIFFITHS Grantee Address: 45 FARMBROOK DR TOLLAND CT 06084 Amount: 1100 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: IMANI DAVID Grantee Address: 45 MARTINS MANOR MANCHESTER CT 06040 Amount: 1100 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: MIKAYLA WILLIAMS Grantee Address: 54 STORRS STREET HARTFORD CT 06106 Amount: 1800 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: BRIANA SUTTON Grantee Address: 35 GABB ROAD BLOOMFIELD CT 06002 Amount: 1800 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: SHANE YOUNG Grantee Address: 87 JUNIPER LANE SOUTH WINDSOR CT 06074 Amount: 1850 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: AVERY SMITH Grantee Address: 104 BROAD STREET MANCHESTER CT 06042 Amount: 1350 Relationship: |
| Part I, line 10 | Activity: SCHOLARSHIP Grantee Name: LAILA POWELL Grantee Address: Amount: 352 Relationship: |
| Part I, line 16 | Description: BANK CHARGES Amount: 101 |
| Part I, line 16 | Description: COMPUTER AND INTERNET RELATED Amount: 1565 |
| Part I, line 16 | Description: INSURANCE Amount: 395 |
| Part I, line 16 | Description: OFFICE SUPPLIES Amount: 652 |
| Part I, line 16 | Description: PROGRAM EXPENSES Amount: 5936 |
| Part I, line 16 | Description: MEETINGS AND CONFERENCES Amount: 191 |
| Part I, line 16 | Description: COMMUNITY SUPPORT Amount: 573 |
| Part I, line 20 | Description: SCHOLARSHIP FUND Amount: 10000 |
| Software ID: | |
| Software Version: |