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.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
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) |
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| 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 |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE BOARD OF DIRECTORS MAY APPROVE CLASSES OF NON-VOTING AFFILIATES WITH RIGHTS, PRIVILEGES, AND OBLIGATIONS ESTABLISHED BY THE BOARD WITH WRITTEN APPROVAL BY THE PRESIDENT. AFFILIATES MAY BE INDIVIDUALS, BUSINESSES, AND OTHER ORGANIZATIONS THAT SEEK TO SUPPORT THE MISSION OF THE CORPORATION. THE BOARD, A DESIGNATED COMMITTEE OF THE BOARD, OR ANY DULY ELECTED OFFICER IN ACCORDANCE WITH BOARD POLICY, SHALL HAVE AUTHORITY TO ADMIT ANY INDIVIDUAL OR ORGANIZATION AS AN AFFILIATE, TO RECOGNIZE REPRESENTATIVES OF AFFILIATES, AND TO MAKE DETERMINATIONS AS TO AFFILIATES' RIGHTS, PRIVILEGES, AND OBLIGATIONS. AT NO TIME SHALL AFFILIATE INFORMATION BE SHARED WITH OR SOLD TO OTHER ORGANIZATIONS OR GROUPS WITHOUT THE AFFILIATE'S CONSENT. AT THE DISCRETION OF THE BOARD OF DIRECTORS, AFFILIATES MAY BE GIVEN ENDORSEMENT, RECOGNITION AND MEDIA COVERAGE AT FUNDRAISING ACTIVITIES, CLINICS, OTHER EVENTS OR AT THE CORPORATION WEBSITE WITH WRITTEN APPROVAL FROM THE PRESIDENT. AFFILIATES HAVE NO VOTING RIGHTS, AND ARE NOT MEMBERS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 8B | 5.01 COMMITTEES THE BOARD OF DIRECTORS MAY, BY THE RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, DESIGNATE ONE OR MORE COMMITTEES, EACH CONSISTING OF AT LEAST ONE DIRECTOR, TO SERVE AT THE PLEASURE OF THE BOARD. ANY COMMITTEE, TO THE EXTENT PROVIDED IN THE RESOLUTION OF THE BOARD, SHALL HAVE ALL THE AUTHORITY OF THE BOARD, EXCEPT THAT NO COMMITTEE, REGARDLESS OF BOARD RESOLUTION, MAY: (A) TAKE ANY FINAL ACTION ON MATTERS WHICH ALSO REQUIRES BOARD MEMBERS' APPROVAL OR APPROVAL OF A MAJORITY OF ALL MEMBERS; (B) FILL VACANCIES ON THE BOARD OF DIRECTORS OF IN ANY COMMITTEE WHICH HAS THE AUTHORITY OF THE BOARD; (C) AMEND OR REPEAL BYLAWS OR ADOPT NEW BYLAWS; (D) AMEND OR REPEAL ANY RESOLUTION OF THE BOARD OF DIRECTORS WHICH BY ITS EXPRESS TERMS IS NOT SO AMENDABLE OR REPEALABLE; (E) APPOINT ANY OTHER COMMITTEES OF THE BOARD OF DIRECTORS OR THE MEMBERS OF THESE COMMITTEES; (F) EXPEND CORPORATE FUNDS TO SUPPORT A NOMINEE FOR DIRECTOR; OR (G) APPROVE ANY TRANSACTION; (I) TO WHICH THE CORPORATION IS A PARTY AND ONE OR MORE DIRECTORS HAVE A MATERIAL FINANCIAL INTEREST; OR (II) BETWEEN THE CORPORATION AND ONE OR MORE OF ITS DIRECTORS OR BETWEEN THE CORPORATION OR ANY PERSON IN WHICH ONE OR MORE OF ITS DIRECTORS HAVE A MATERIAL FINANCIAL INTEREST. 5.2 MEETINGS AND ACTION OF COMMITTEES MEETINGS AND ACTION OF THE COMMITTEES SHALL BE GOVERNED BY AND HELD AND TAKEN IN ACCORDANCE WITH, THE PROVISIONS OF ARTICLE IV OF THESE BYLAWS CONCERNING MEETINGS OF THE DIRECTORS, WITH SUCH CHANGES IN THE CONTEXT OF THOSE BYLAWS AS ARE NECESSARY TO SUBSTITUTE THE COMMITTEE AND ITS MEMBERS FOR THE BOARD OF DIRECTORS AND ITS MEMBERS, EXCEPT THAT THE TIME FOR REGULAR MEETINGS OF COMMITTEES MAY BE DETERMINED EITHER BY RESOLUTION OF THE BOARD OF DIRECTORS OR BY RESOLUTION OF THE COMMITTEE. SPECIAL MEETINGS OF THE COMMITTEE MAY ALSO BE CALLED BY RESOLUTION OF THE BOARD OF DIRECTORS. NOTICE OF SPECIAL MEETINGS OF COMMITTEES SHALL ALSO BE GIVEN TO ANY AND ALL ALTERNATE MEMBERS, WHO SHALL HAVE THE RIGHT TO ATTEND ALL MEETINGS OF THE COMMITTEE. MINUTES SHALL BE KEPT OF EACH MEETING OF ANY COMMITTEE AT THE COMMITTEE'S DISCRETION AND SHALL BE FILED WITH THE CORPORATE RECORDS ON AN ANNUAL BASIS. THE BOARD OF DIRECTORS MAY ADOPT RULES FOR THE GOVERNING OF THE COMMITTEE NOT INCONSISTENT WITH THE PROVISION OF THESE BYLAWS. 5.3 INFORMAL ACTION BY THE BOARD OF DIRECTORS ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN BY THE BOARD OF DIRECTORS AT A MEETING MAY BE TAKEN WITHOUT A MEETING IF CONSENT IN WRITING, SETTING FORTH THE ACTION SO TAKEN, SHALL BE AGREED BY THE CONSENSUS OF A QUORUM. FOR PURPOSES OF THIS SECTION AN E-MAIL TRANSMISSION FROM AN E-MAIL ADDRESS ON RECORD CONSTITUTES A VALID WRITING. THE INTENT OF THIS PROVISION IS TO ALLOW THE BOARD OF DIRECTORS TO USE EMAIL TO APPROVE ACTIONS, AS LONG AS A QUORUM OF BOARD MEMBERS GIVES CONSENT AND THERE IS WRITTEN APPROVAL FROM THE PRESIDENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS SUBMITED TO ITS BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM. WHILE NEITHER THE APPROVAL OF THE FORM 990 OR A REVIEW OF THE 990 IS REQUIRED UNDER FEDERAL LAW, THE CORPORATION'S FORM 990 SHALL BE SUBMITTED TO EACH MEMBER OF THE BOARD OF DIRECTOR'S VIA (HARD COPY OR EMAIL) AT LEAST 10 DAYS BEFORE THE FORM 990 IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION C, LINE 19 | BY MAKING FULL AND ACCURATE INFORMATION ABOUT ITS MISSION, ACTIVITIES, FINANCES, AND GOVERNANCE PUBLICLY AVAILABLE UPON REQUEST WITH APPROVAL FROM THE BOARD OF DIRECTORS AND WRITTEN APPROVAL FROM THE PRESIDENT, AKA'S DARBAR PRACTICES AND ENCOURAGES TRANSPARENCY AND ACCOUNTABILITY. |
| FORM 990, PART IX, LINE 11G | PROPERTY TAXES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,199. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,199. |
| Software ID: | |
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