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 |
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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.") .. | 24,650 | 31,925 | 35,933 | 36,155 | 65,150 | 193,813 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | 0 | 0 | 0 | 0 | 0 |
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 4 | Total. Add lines 1 through 3 | 24,650 | 31,925 | 35,933 | 36,155 | 65,150 | 193,813 |
| 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).. | 49,012 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 144,801 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 24,650 | 31,925 | 35,933 | 36,155 | 65,150 | 193,813 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 0 | 0 | 30 | 68 | 87 | 185 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 0 | 0 | 0 | 0 | 0 | 0 |
| 11 | Total support. Add lines 7 through 10 | 193,998 | |||||
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) |
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| 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. |
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| 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) |
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| 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. |
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|
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. |
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|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 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: | 20012124 |
| Software Version: | v1.00 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990-EZ, Part I, Line 6b | Like so many other non-profits, our fundraising program was affected by the uncertainty the pandemic brought to our communities. We were scheduled to be the benefactor of a golf tournament that was cancelled. |
| Form 990-EZ, Part I, Line 16 | Other Expenses: Directors and Officers, Workers' Compensation, and Professional Liability insurances, office & moving supplies, small office equipment, staff and board training, information technology. This amount also includes fundraising expenses of $596 for auction items assembled for the golf tournament that was cancelled due to the pandemic. |
| Form 990-EZ, Part II, Line 24 | Accounts Receivable, Beginning of Year - Fundraising campaign funds due from fundraising platforms to Blueprints of Hope (Flipcause $2,415 and Facebook $2,800); Other Assets, End of Year - $125 unused gift card; $1,350 facilities lease security deposit. |
| Form 990-EZ, Part II, Line 26 | Total Liabilities, End of Year - $2,977 Paycheck Protection Program loan received 4/28/20. |
| Form 990-EZ, Part III, Line (28-31) | Form 990-EZ, Part III, Line 28, Oncology Nurse Navigation Program accomplishments: This community-based program is provided by a professional oncology certified nurse navigator and supported by volunteers who provide peer-to-peer mentoring, as warranted. Because we exist in an under-resourced area, our personalized navigation service plays an important role in helping to decrease the distress patients and their loved ones may experience throughout their cancer journey. Our free guidance is directed at identifying an individual's informational, practical, physical, and emotional needs, and the barriers to accessing medical care. We then connect them to the resources that meet those needs. These services are provided to augment the support our patients receive in a clinical setting. People learn about us from print collateral we've distributed throughout Southwest Colorado, including libraries, health-related agencies and businesses, churches, social media, and by word of mouth. In relationship to the pandemic uncertainty, the people we serve were not in public places, and some were not even getting their cancer screenings, or recommended follow-up care. Related to this, we had a significant decrease in referrals to this program. The people who did contact us, did so via telephone or e-mail, through our website. We had 112 navigation contacts in 2020, which is a significant decrease from the prior year. Some of our expenses included books for our borrowing library, $7,011 for staff time, some office supplies, and a portion of our facility charge. The feedback we get from the people we serve is consistently positive. Form 990-EZ, Part III, Line 29, Survivorship Program accomplishments: Besides our community cancer navigation and Live by Living Hiking program, we provide free programs and services that include education, community cancer navigation, emotional support, social activities, mind, and body programs that provide hope for people with cancer and their loved ones. We support all people experiencing cancer in our communities to become healthier and live better lives and provide all programs and services free of charge to cancer patients, survivors and families impacted by cancer in Southwest Colorado. Our survivorship programming typically includes workshops, educational workshops, and classes such as Yoga for Healing and Qigong for Health for people with any phase of cancer, and their caregivers. Because of the pandemic, the people we serve are typically immunocompromised and at significant risk, we suspended indoor programming for 2020. Our website provides educational and informational support at diagnosis and beyond, sharing next steps which can help decrease the fear and distress associated with any phase of a cancer diagnosis. We have much information about where to find resources to help meet the needs of people who live in our rural communities of Southwest Colorado. The expenses incurred with Survivorship programming are related to a portion of our facility expenses. Form 990-EZ, Part III, Line 30, Live by Living Hiking program accomplishments: Our collaboration with the Live by Living hiking/snowshoe program designs hikes for people who are primarily in the post-treatment survivorship phase of their cancer journey and/or their caregivers. The tenet of the Live by Living program is that by combining companionship, social support, physical activity and nature, a synergy is created that will assist participants to improve their quality of life as they deal with the variety of issues living with and beyond a cancer diagnosis presents. This program provided over 50 mountain hikes and snowshoe outings in Southwest Colorado for 130 people, which were led by 12 volunteer hike leaders, giving 122 hours of volunteer time. This translates to $3,318 of in-kind service. We were able to continue our hikes, which were held remotely and in nature, socially distanced, with face masks for much of 2020. Expenses were just $20, because our hiking equipment needs were expensed in prior years. |
| Form 990-EZ, Part IV | Most of the Executive Director/Founder/Oncology Nurse Navigator's income is donated to Blueprints of Hope but is not shown as an in-kind expense. This translates to in-kind service of $45,260 for 2020. |
| Software ID: | 20012124 |
| Software Version: | v1.00 |