Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
0 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 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.") .. | 142,176 | 146,203 | 113,716 | 111,644 | 192,507 | 706,246 |
| 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 | 142,176 | 146,203 | 113,716 | 111,644 | 192,507 | 706,246 |
| 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. | 706,246 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 142,176 | 146,203 | 113,716 | 111,644 | 192,507 | 706,246 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 61 | 67 | 62 | 47 | 37 | 274 |
| 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.).. | 5,279 | 4,438 | 4,381 | 4,463 | 5,115 | 23,676 |
| 11 | Total support. Add lines 7 through 10 | 730,196 | |||||
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.) | 0 | |||||
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 |
|---|---|
| Pt II Ln 10 | Other Income Part II, Line 10 Description: MISCELLANEOUS INCOME Description: SERVICE FEES 2016: 5279. 2017: 4438. 2018: 4381. 2019: 4463. 2020: 5115. |
| Software ID: | 20011577 |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; AMERICAN CANCER SOCIETY: PO BOX 681405, INDIANAPOLIS, IN, 46268; NONE, 1892. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; BIG BROTHERS, BIG SISTERS: 320 SE MARTIN LUTHER KING JR BLVD, EVANSVILLE, IN, 47713; NONE, 709. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; BREAD OF LIFE MINISTRY INC: PO BOX 12, LYNNVILLE, IN, 47619; NONE, 11680. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; BROTHERS FOR VETERANS: PO BOX 69, IRELAND, IN, 47545; NONE, 709. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; BUFFALO TRACE COUNCIL: 3501 E LLOYD EXPRESSWAY, EVANSVILLE, IN, 47715; NONE, 2500. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; GENERATIONS: 1019 N 4TH STREET, VINCENNES, IN, 47591; NONE, 6371. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; HELPING HEARTS HOSPICE: 1314 E WALNUT STREET, WASHINGTON, IN, 47501; NONE, 635. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; JEFFERSON TOWNSHIP COMMUNITY CENTER: 2301 N SPRING STREET, OTWELL, IN, 47564; NONE, 801. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; JEFFERSON TOWNSHIP FIRE DEPARTMENT: 9975 E JEFFERSON STREET, OTWELL, IN, 47564; NONE, 9500. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; JUNIOR ACHIEVEMENT OF SWIN: 43 E DIAMOND AVENUE, EVANSVILLE, IN, 47711; NONE, 2000. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; PETERSBURG KIWANIS: PO BOX 22, PETERSBURG, IN, 47567; NONE, 7000. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; PETERSBURG LITTLE LEAGUE BASEBALL, INC.: PO BOX 102, PETERSBURG, IN, 47567; NONE, 1102. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; PIKE COUNTY 4-H: 801 E MAIN STREET, PETERSBURG, IN, 47567; NONE, 1142. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; PIKE COUNTY CHRISTIAN ASSISTANCE: 27 W LOCUST STREET, PETERSBURG, IN, 47567; NONE, 26804. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; PIKE COUNTY PUBLIC LIBRARY: 1008 E MAPLE STREET, PETERSBURG, IN, 47567; NONE, 7815. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; SALVATION ARMY: PO BOX 1258, PRINCETON, IN, 47670; NONE, 2938. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; SENIOR AND FAMILY SERVICES: 211 E MAIN STREET, WASHINGTON, IN, 47501; NONE, 5400. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; THE ARC OF PIKE COUNTY: PO BOX 535, PETERSBURG, IN, 47567; NONE, 1437. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; THE ARC OF SOUTHWEST INDIANA: 421 S MAIN STREET, PRINCETON, IN, 47670; NONE, 1978. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; THE ISAIAH 1:17 PROJECT: 117 N HART STREET, PRINCETON, IN, 47670; NONE, 1500. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; TRACTORS FOR TRENTON: 5751 E STATE RD 356, OTWELL, IN, 47564; NONE, 915. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; TRI CAP: 809 E ILLINOIS STREET, PETERSBURG, IN, 47567; NONE, 10978. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; TTR HAVEN OVER THE HILLTOP: 2573 N STATE RD 257, OTWELL, IN, 47564; NONE, 10973. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; DAVIESS COUNTY UNITED WAY: PO BOX 224, WASHINGTON, IN, 47501; AFFILIATE, 4530. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; GIBSON COUNTY UNITED WAY: PO BOX 235, PRINCETON, IN, 47670; AFFILIATE, 2768. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; KNOX COUNTY UNITED WAY: PO BOX 198, VINCENNES, IN, 47591; AFFILIATE, 2424. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; PIKE COUNTY UNITED WAY: 719 E MAIN STREET, PETERSBURG, IN, 47567; AFFILIATE, 4075. |
| Form 990EZ, Part I, Line 10 | FINANCIAL SUPPORT FOR CHARITABLE ACTIVITIES; CHARITABLE; VARIOUS-UNDER $500 EACH: 719 E MAIN STREET, PETERSBURG, IN, 47567; NONE, 8448. |
| Form 990EZ, Part I, Line 16 | INSURANCE 585. |
| Form 990EZ, Part I, Line 16 | FUNDRAISING CAMPAIGN & MEETING SUPPLIES 207. |
| Form 990EZ, Part I, Line 16 | ANNUAL DINNER & AWARDS EXPENSE & EVENTS 2000. |
| Form 990EZ, Part I, Line 16 | PAYROLL TAXES EXPENSE 2066. |
| Form 990EZ, Part I, Line 16 | OFFICE SUPPLIES 413. |
| Form 990EZ, Part I, Line 16 | TELEPHONE,INTERNET, WEBSITE FEES 1490. |
| Form 990EZ, Part I, Line 16 | CONFERENCES & TRAVEL 509. |
| Form 990EZ, Part I, Line 16 | UNITED WAY OF AMERICA DUES-PAYMENT TO AFFILIATE 1875. |
| Form 990EZ, Part I, Line 16 | UNITED WAY OF INDIANA DUES 324. |
| Form 990EZ, Part I, Line 16 | MISCELLANEOUS EXPENSE 637. |
| Form 990EZ, Part I, Line 16 | Depreciation 0. |
| Form 990EZ, Part I, Line 16 | LOCAL ORGANIZATION DUES 125. |
| Form 990EZ, Part II, Line 24 | PLEDGES RECEIVABLE(NET OF ALLOWANCE FOR UNCOLLECTIBLES) 47418. 100813. |
| Form 990EZ, Part II, Line 24 | OFFICE EQUIPMENT(NET OF ACCUMULATED DEPRECIATION) 0. 0. |
| Form 990EZ, Part II, Line 26 | AGENCY DESIGNATIONS PAYABLE 51760. 57569. |
| Form 990EZ, Part II, Line 26 | PAYROLL TAXES PAYABLE 1575. 1856. |
| Software ID: | 20011577 |
| Software Version: |