Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
AMERICAN WARRIOR INITIATIVE INC
 
Number and street (or P.O. box number if mail is not delivered to street address)4750 S BILTMORE LN
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MADISON, WI53718
A Employer identification number

47-3566126
B Telephone number (see instructions)

(608) 571-0508
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$3,251,183J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 2,635,041
2 Check bullet.............
3 Interest on savings and temporary cash investments 5,942 5,942  
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 2,640,983 5,942  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 26,848 0   26,848
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 8,911 0   8,911
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 35,759 0   35,759
25 Contributions, gifts, grants paid....... 1,431,425 1,015,960
26 Total expenses and disbursements. Add lines 24 and 25 1,467,184 0   1,051,719
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,173,799
b Net investment income (if negative, enter -0-) 5,942
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 580,778 2,089,902 2,089,902
2 Savings and temporary cash investments......... 1,067,107 1,077,784 1,077,784
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet83,497
Less: allowance for doubtful accounts bullet   60,129 83,497 83,497
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 590    
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,708,604 3,251,183 3,251,183
Liabilities 17 Accounts payable and accrued expenses.......... 5,477 5,778
18 Grants payable................. 97,557 466,036
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 103,034 471,814
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 1,195,103 1,163,618
25 Net assets with donor restrictions............ 410,467 1,615,751
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,605,570 2,779,369
30 Total liabilities and net assets/fund balances (see instructions). 1,708,604 3,251,183
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,605,570
2
Enter amount from Part I, line 27a .....................
2
1,173,799
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,779,369
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,779,369
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1a
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 83
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 83
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 83
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 83
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletAL, AK, AR, CA, CO, CT, DC, FL, GA, HI, IL, KS, KY, ME, MD, MA, MI, MN, MS, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, TN, UT, VA, WA, WV, WI
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.AMERICANWARRIORINITIATIVE.COM
    14
    The books are in care ofbulletPAULA WILCOX Telephone no.bullet (608) 571-0508

    Located atbullet4750 S BILTMORE LNMADISONWI ZIP+4bullet53718
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
    Yes
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d). Click to see attachment
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    STEVEN JACOBSON PRESIDENT
    1.00     		0 0 0
    4750 S BILTMORE LANE
    MADISON,WI537182108
    TODD GAVINSKI DIRECTOR
    1.00     		0 0 0
    4750 S BILTMORE LANE
    MADISON,WI537182108
    LEONARD KRUPINSKI DIRECTOR
    1.00     		0 0 0
    4750 S BILTMORE LANE
    MADISON,WI537182108
    SEAN PARNELL DIRECTOR
    1.00     		0 0 0
    4750 S BILTMORE LANE
    MADISON,WI537182108
    LOUISE THAXTON DIRECTOR
    1.00     		0 0 0
    4750 S BILTMORE LANE
    MADISON,WI537182108
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 AMERICAN WARRIOR INITIATIVE (AWI) HAS REACHED OVER 25,000 REAL ESTATE AGENTS AROUND THE COUNTRY AT THE AMERICAN WARRIOR REAL ESTATE PROFESSIONAL (AWREP) BOOT CAMPS, BRINGING AWARENESS TO THE CHALLENGES FACING MEN AND WOMEN WHO HAVE SERVED IN THE MILITARY WHEN RETURNING FROM WAR. IN 2018, AWI LAUNCHED FREEDOM TOURS WITH GOLD STAR MOM KAREN VAUGHN. FROM HER UNIQUE PERSPECTIVE--AS A MOM WHOSE SON WAS KILLED IN ACTION IN AFGHANISTAN--KAREN SHARES A POWERFUL MESSAGE ON OUR OBLIGATION AS EVERYDAY CITIZENS TO HONOR THE SACRIFICE OF THOSE WHO'VE GIVEN SO MUCH FOR OUR FREEDOM.AWI HAS SPEARHEADED MORE THAN 100 GIVE-BACK INITIATIVES TO THE WOUNDED HEROES OF AMERICA. THESE WOUNDED HEROES HAVE BEEN SERVED THROUGH MORTGAGE-FREE HOUSING, BUSINESS GRANTS, HOME UPGRADES, SERVICE DOGS, AND MORE. AWI ALSO SUPPORTS NONPROFIT ORGANIZATIONS THAT PROVIDE ASSISTANCE TO MILITARY VETERANS. TO HELP WITH COVID RELIEF EFFORTS, AWI PROVIDED MASKS TO HOSPITALS AND FIRST RESPONDERS THROUGHOUT THE UNITED STATES. 1,431,425
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    1,786,340
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,786,340
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,786,340
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    26,795
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,759,545
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    87,977
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    87,977
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    83
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    83
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    87,894
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    87,894
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    87,894
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,051,719
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,051,719
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,051,719
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2019     		(c)
    2019     		(d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 87,894
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 198,290
    b From 2016...... 341,942
    c From 2017...... 289,961
    d From 2018...... 588,293
    e From 2019...... 586,810
    fTotal of lines 3a through e........ 2,005,296
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 1,051,719
    a Applied to 2019, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount..... 87,894
    e Remaining amount distributed out of corpus 963,825
    5 Excess distributions carryover applied to 2020. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 2,969,121
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		198,290
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		2,770,831
    10 Analysis of line 9:
    a Excess from 2016.... 341,942
    b Excess from 2017.... 289,961
    c Excess from 2018.... 588,293
    d Excess from 2019.... 586,810
    e Excess from 2020.... 963,825
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    AMERICAN WARRIOR INITIATIVE
    4750 S BILTMORE LN
    MADISON,WI53718
    (724) 900-6045
    AWI@FAIRWAYMC.COM
    bThe form in which applications should be submitted and information and materials they should include:
    SEE VETERAN SUPPORT FORM AT WWW.AMERICANWARRIORINITIATIVE.COM/VETERAN-SUPPORT-FORM
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    A VETERAN MUST HAVE BEEN HONORABLY DISCHARGED TO APPLY FOR ASSISTANCE. AWI DOES NOT MAKE GRANTS OUTSIDE ITS FUNDING PRIORITIES.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ADVENT HEALTH OCALA
    1500 SW 1ST AVE
    OCALA,FL34471     		N/A PC MASKS 700
    ALBERT LESTENKOF
    2723 MONTEBELLO DR WEST
    COLORADO SPRINGS,CO80918     		NONE I FAMILY GRANT 1,500
    ALEX M PICKETT
    11512 44TH AVE E
    TACOMA,WA98446     		NONE I GIFT CARD 200
    ALTON RAY CRAGER
    2829 HIGHWAY 117
    LEESVILLE,LA71446     		NONE I FINANCIAL GRANT 844
    ANDREA KAICHI
    125 FYRL ST
    CLEARFIELD,KS40313     		NONE I WALMART GIFT CARD 200
    ANTHONY ALMEIDA
    PO BOX 1124
    SKOWHEGAN,ME04976     		NONE I FAMILY GRANT 1,888
    ANTHONY DERRY
    3303 GULF OF MEXICO DR
    LONGBOAT KEY,FL34228     		NONE I FUNERAL EXPENSES FOR WIFE 1,265
    ARCHER LODGE FIRE DEPT
    6483 COVERED BRIDGE RD
    CLAYTON,NC27527     		N/A GOV MASKS 1,700
    ARCHIE KENDALL
    214 WEST LEBLANC ST
    DEQUINCY,LA70633     		NONE I GIFT CARD 200
    ASSOCIATION OF THE UNITED STATES ARMY
    2425 WILSON BLVD
    ARLINGTON,VA22201     		N/A PC TOYS FOR NATIONAL GUARD CHILDREN 5,080
    ATLANTA PUBLIC SCHOOL SYSTEM
    130 TRINITY AVE SW
    ATLANTA,GA30303     		N/A PC MASKS 1,200
    ATLANTA PUBLIC SCHOOL SYSTEM
    130 TRINITY AVE SW
    ATLANTA,GA30303     		NONE GOV MASKS 5,200
    AUBURN FIRE DEPT
    47 AUBURN ST
    AUBURN,MA01501     		N/A GOV MASKS 100
    AUBURN POLICE DEPARTMENT
    416 OXFORD ST N
    AUBURN,MA01501     		N/A GOV MASKS 100
    AURORA POLICE DEPARTMENT
    15001 E ALAMEDA AVE
    AURORA,CO80012     		N/A GOV MASKS 1,000
    AZALEA ESTATES OF GONZALES
    2305 S PUPERA AVE
    GONZALES,LA70737     		N/A NC MASKS 1,765
    BANNER HEALTH
    1625 CAMPBELL AVE
    TUCSON,AZ85719     		N/A PC MASKS 500
    BAY TREE CENTER
    2600 HIGHLANDS BLVD N
    PALM HARBOR,FL34684     		N/A NC MASKS 4,000
    BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE
    1650 W COLLEGE ST
    GRAPEVINE,TX76051     		N/A PC MASKS 1,800
    BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE
    2401 S 31ST ST
    TEMPLE,TX76508     		N/A PC MASKS 6,300
    BAYLOR UNIVERSITY MEDICAL CENTER DALLAS
    3500 GASTON AVE
    DALLAS,TX75246     		N/A PC MASKS 770
    BELLIN HOSPITAL
    744 S WEBSTER AVE
    GREEN BAY,WI54301     		N/A PC MASKS 3,400
    BEN LUNAK
    9720 ARBOR WALK LANE
    COLORADO SPRINGS,CO80831     		NONE I GIFT CARD 500
    BENJAMIN HECK
    1978 CHAFFEE AVE HOME
    DUPONT,WA98327     		NONE I WALMART GIFT CARD 200
    BENJAMIN SHAW
    353 PEG LEG LANE
    MANY,LA71449     		NONE I GIFT CARD 500
    BETHANY REESE
    325 W DIVISION ST
    PILOT POINT,TX76258     		NONE I GIFT CARD 200
    BILL MOORE
    2341 DOVE LN NE
    OLYMPIA,WA98506     		NONE I GIFT CARD 200
    BRANDON ANTHONY KOZLOWSKI
    185 INLAND CIRCLE
    NEWMAN,GA30263     		NONE I FAMILY GRANT 6,750
    BRETT GARCIA
    3056 STRAND RD
    ROCKLIN,CA95865     		NONE I WALMART GIFT CARD 200
    BRIGADOON SERVICE DOGS
    4759 MISSION ROAD
    BELLINGHAM,WA98226     		N/A PC SERVICE DOG 10,000
    BROOMFIELD FIRE DEPT CO
    101 SPADER WAY
    BROOMFIELD,CO80020     		N/A GOV MASKS 2,800
    BYRD HOSPITAL
    1020 FERTITTA BLVD
    LEESVILLE,LA71446     		N/A PC FOOD/MEALS FOR HOSPITAL STAFF 1,057
    CATREMA ALMONTE
    128 COLONIAL RD
    PROVIDENCE,RI02903     		NONE I GIFT CARD 200
    CHAD DOWNING
    68 COLONIAL DR
    TELFORD,PA18969     		NONE I GIFT CARD 200
    CHADD WINTERBURG
    4810 CLASSIC DRIVE
    WEST PALM BEACH,FL33417     		NONE I GIFT CARD 200
    CHERYL SCHMIDT
    12887 PHILLIPS RIDGE RD SE
    MONROE,WA98272     		NONE I HOME REPAIR GRANT 15,755
    CHERYL SWALLING
    3503 SOUTH 38TH ST 106
    TACOMA,WA98409     		NONE I VISA GIFT CARD 200
    CHESAPEAK FIRE AND RESCUE
    304 ALBEMARIE DR
    CHESAPEAKE,VA23322     		N/A GOV FOOD/MEALS FOR FIRE AND RESCUE STAFF 1,057
    CHESAPEAKE GENERAL HOSPITAL ER
    736 N BATTLEFIELD BLVD
    CHESAPEAKE,VA23320     		N/A PC FOOD/MEALS FOR ER STAFF 1,057
    CHRIS BARNSON
    8918 107TH ST SW
    LAKEWOOD,WA98498     		NONE I GRANT 21
    CHRISTOPHER POBLADOR
    2110 E EMPIRE UNIT 4
    BLOOMINGTON,IL61704     		NONE I FINANCIAL ASSISTANCE GRANT 1,000
    CITRUS MEMORIAL HOSPITAL
    502 W HIGHLAND BLVD
    INVERNESS,FL34452     		N/A PC MASKS 800
    CITY OF BURLESON
    141 W RENFRO ST
    BURLESON,TX76028     		N/A GOV MASKS 1,600
    CITY OF COLORADO SPRINGS FIRE DEPT
    375 PRINTERS PKWAY
    COLORADO SPRINGS,CO80901     		N/A GOV MASKS 3,200
    CLIFFORD GLEDHIL
    353 BROADVIEW DR
    JIM THORPE,PA18229     		NONE I GIFT CARD 200
    CLINT LORANCE
    4226 CR 1098
    CELESTE,TX75423     		NONE I AMAZON GIFT CARD 200
    CLOVERLEAF PEDIATRICS
    4200 N CLOVERLEAF DR STE F
    SAINT PETERS,MO63376     		N/A PC MASKS 1,500
    COAST GUARD RECRUITING
    1100 HAMMOND DR 460B
    SANDY SPRINGS,GA30328     		N/A GOV MASKS 1,525
    COASTLINE CANINE
    971 9TH ST SW
    NAPLES,FL34117     		N/A NC SERVICE DOG 15,000
    CODY JAMES GOODRICH
    20439 COUNTY ROAD 17
    ELBERT,CO80106     		NONE I GIFT CARD 200
    COREY SANDERS
    22690 SW UPPER ROY ST
    SHERWOOD,OR97140     		NONE I GIFT CARD 200
    CUSTOM CANINES SERVICE DOG ACADEMY INC
    2310 MUSTANG WAY
    MADISON,WI53718     		N/A PC SERVICE DOGS/SCHOLARSHIP 60,000
    DANI FIGUEROA
    4512 36TH ST SOUTH B2
    ARLINGTON,VA22206     		NONE I FINANCIAL ASSISTANCE 5,250
    DARLENE GILBREATH
    4215N MAJOR DR APT 511
    BEAUMONT,TX77713     		NONE I FINANCIAL GRANT 4,000
    DARRICK BROOKS
    1401 3RD AVE SE
    AUSTIN,MN55912     		NONE I FINANCIAL ASSISTANCE 3,073
    DAVID BICKNELL
    8711 W RINGBILL
    GARDEN CITY,ID83714     		NONE I FAMILY GRANT 2,041
    DAVID CHENEY
    2250 FOX AVE THROUGH 12/9/2020
    MADISON,WI53711     		NONE I FAMILY GRANT 8,000
    DAVID HAWKINS
    525 AZALEA ST
    THOUSAND OAKS,CA91360     		NONE I GIFT CARD 200
    DAVID MORLEY
    21904 JANSKY RD E
    GRAHAM,WA98338     		NONE I GIFT CARD 5,000
    DEBRA COLEMAN
    1828 E QUEENSDALE ST
    COMPTON,CA90221     		NONE I MASKS 500
    DELAWARE ORTHOPEDICS
    3401 BRANDYWINE PKWY
    WILIMINGTON,DE19803     		N/A NC MASKS 11,000
    DERIDDER RETIREMENT AND REHABILITATION CENTER
    1420 BLANKENSHIP DR
    DERIDDER,LA70634     		N/A NC MASKS 38,000
    DEVIN ARNOLD
    14450 BIG OAK BAY ROAD
    TYERL,TX75707     		NONE I GIFT CARD 200
    DOGS OF VALOR
    105 E HILLIARD LN
    EUGENE,OR97404     		N/A PC SERVICE DOG 5,500
    DON REED
    2524 WEYMOUTH WAY
    NORMAN,OK73071     		NONE I FAMILY GRANT 2,500
    DONNIE AND DANA PARKER
    134 J HEXT RD
    HORNBECK,LA71439     		NONE I FUNERAL EXPENSES 14,956
    DOUGLAS TARGETT
    1855 PROMENADE LANE
    XENIA,OH45385     		NONE I GIFT CARD 200
    DR GWENN SANTORO
    219 ANDERSON
    BUFFALO,NY14222     		NONE I MASKS 1,000
    DR STEVEN SMITH ALINA HOSPITAL
    303 CATLIN ST
    BUFFALO,MN55313     		NONE I MASKS 2,700
    DR JANET HAN INOVA
    6565 ARLINGTON BLVD 500
    FALLS CHURCH,VA22042     		NONE I MASKS 792
    DR SASKIA THOMPSON
    5970 YELLOWTAIL ST
    TIMNATH,CO80574     		NONE I MASKS 1,800
    E HEMPFIELD AMBULANCE CORP
    1700 NISSLEY RD
    LANDISVILLE,PA17538     		N/A NC MASKS 5,000
    EARL JURY
    727 PRIVATE RD 1508
    BANDERA,TX78003     		NONE I FAMILY GRANT 4,419
    ELAN POBLADOR
    2110 E EMPLIRE UNIT 4
    BLOOMINGTON,IL61704     		NONE I FAMILY FURNITURE GRANT 2,000
    ELITE LEARNING ACADEMY & PRESCHOOL
    10746 S 204TH ST 3
    GRETNA,NE68028     		N/A NC MASKS 1,000
    ELMHURST POLICE DEPARTMENT
    125 E 1ST ST
    ELMHURST,IL60126     		N/A GOV MASKS 2,000
    EMORY UNIVERSITY HOSPITAL
    1364 CLIFTON RD
    ATLANTA,GA30322     		N/A PC MASKS 1,500
    ERIC BEACH
    1504 W 7TH ST
    MARSHFIELD,WI54449     		NONE I GIFT CARD 200
    ERICA HARPERCHIAZZESE
    750 E IRVINGTON RD APT 1116
    TUCSON,AZ85714     		NONE I GIFT CARD 200
    ERIK BURTON
    10226 PARK STREAM DRIVE
    INDIANAPOLIS,IN46229     		NONE I FAMILY GRANT 3,500
    EUGENE MYERS
    34 ALVIN DR
    PINEVILLE,LA71360     		NONE I FAMILY GRANT 2,200
    EVERETT FOOD BANK
    1230 BROADWAY
    EVERETT,WA98201     		N/A PC MASKS 770
    EVERGREEN HEALTH FOUNDATION CO DR RAND UNGER
    12040 NE 128TH ST
    KIRKLAND,WA98034     		N/A PC MASKS 19,000
    FALL RIVER JEWISH HOME
    538 ROBERSON ST
    FALL RIVER,MA02720     		N/A PC MASKS 3,200
    FRANCES WIEDENHOEFT
    5806 JULIE STREET
    MADISON,WI53705     		NONE I GIFT CARD 200
    FRANCISCO ALCAZAR
    9924 RAILROAD DR APT 85
    EL PASO,TX79924     		NONE I VISA GIFT CARD 200
    FREDERICK AND FLORENCE FERNANDEZ
    780 S GOLDFINCH WAY
    ANAHEIM,CA92807     		NONE I MASKS 500
    FREDERICK KRAUSE
    10435 N 105TH AVE
    SUN CITY,AZ85351     		NONE I VISA GIFT CARD 200
    GARY LUBIN JR
    6730 PHANTOM WAY
    COLORADO SPRINGS,CO80925     		NONE I WALMART GIFT CARD 200
    GARY PARKER
    26397 TAYLOR PARK RD
    LYONS,OR97358     		NONE I FAMILY GRANT 10,000
    GARY WETZEL
    2508 17TH AVE
    SOUTH MILWAUKEE,WI53172     		NONE I FAMILY GRANT 6,000
    GERALD GAUDET
    4546 SUNDANCE CT
    COTTAGE GROVE,WI53527     		NONE I FAMILY GRANT 8,955
    GIOVANNI DESPOSSES
    7152 ALPINE DAISTY DR
    COLORADO SPRINGS,CO80925     		NONE I FAMILY GRANT 5,000
    GOLDEN DOODLE LOVELY
    PO BOX 50008
    MESA,AZ85208     		N/A NC SERVICE DOG 4,146
    GRAND RIVER HOSPITAL
    801 AIRPORT RD
    RIFLE,CO81650     		N/A PC MASKS 1,000
    GREG FAGAN
    300 GATEWOOD DR
    WINSTON SALEM,NC27104     		NONE I FAMILY GRANT 3,484
    GREGORY HARRISON
    287 THOMPSON STREET
    SUMMIT POINT,WV25446     		NONE I GIFT CARD 200
    GREGORY TYLER BENNETT
    1389 ENTRANCE RD 105
    ROBELINE,LA71469     		NONE I VISA GIFT CARD 200
    HARMONY AT HOPE MILLS
    7501 ROCKFISH ROAD
    HOPE MILLS,NC28306     		N/A NC MASKS 1,000
    HARMONY POINTE NURSING CENTER
    1655 YARROW ST
    LAKEWOOD,CO80214     		N/A NC MASKS 600
    HARVESTING INTERNATIONAL MINISTRY CENTER INC
    150 SS 6TH AVE
    MANSFIELD,TX76063     		N/A PC MASKS 1,000
    HELENA HASSAN
    5901 MONTROSE ROAD APT C1201
    NORTH BETHESDA,MD20852     		NONE I GIFT CARD 200
    HILLARY DALY
    4895 HAHNS PEAK DR 104
    LOVELAND,CO80538     		NONE I FINANCIAL ASSISTANCE 151
    HOLLY A STOLL
    231 W WYNWOOD DR
    SHELTON,WA98584     		NONE I GIFT CARD 200
    HOLLY HILL AND REHABILITATION CENTER
    100 KINGSTON ROAD
    SUPHUR,LA70663     		N/A NC MASKS 38,000
    HOLY ROSARY CATHOLIC CHURCH
    44450 LA-429
    ST AMANT,LA70774     		N/A PC MASKS 1,965
    HUB CITY SERVICE DOGS
    6068 US HIGHWAY 90 STE 1-126
    HATTIESBURG,MS39402     		N/A PC SERVICE DOG 8,000
    JACK MATHENY GROUP
    700 ZEAGER DR
    PALATAKA,FL32177     		N/A NC MASKS 400
    JACKSON HOSPITAL MONTGOMERY
    1725 PINE ST
    MONTGOMERY,AL36106     		N/A PC MASKS 2,500
    JAMES HALL
    38590 N TUMBLEWEED LN
    SAN TAN VALLEY,AZ85140     		NONE I GIFT CARD/GRANT 1,710
    JANELLE MASSIATTE
    7502A RIDGE ROAD
    FREDERICK,MD21702     		NONE I GIFT CARD 200
    JARED WHARTON
    2750 WILLIAMSON PLACE NW 100
    DUPONT,WA98327     		NONE I FAMILY GRANT 5,176
    JAVA JOE'S
    8 E BALTIMORE ST
    BALTIMORE,MD21202     		N/A NC MASKS 1,000
    JAXSEN MACKENZIE
    2801 N ORACLE RD APT 917
    TUCSON,AZ85705     		NONE I GIFT CARD 200
    JERRY HARP
    21455 STERLING DR
    LAKE FOREST,CA92630     		NONE I FINANCIAL ASSISTANCE- AUTO 20,000
    JESSE WILKEN
    2543 162ND AVE NE
    HAM LAKE,MN55304     		NONE I FINANCIAL ASSISTANCE 4,500
    JIMMY CHAMBERS
    1455 LUKE LANE
    LAWRENCEVILLE,GA30043     		NONE I FAMILY GRANT 4,022
    JOHN ALLEN MARTINEZ
    3015 ALLEN-MARTHAVILLE ROAD
    ROBELINE,LA71469     		NONE I WALMART GIFT CARD 200
    JOHN PALMER
    1733 OAKTON ST
    EVANSTON,IL60202     		NONE I GIFT CARD 200
    JOSEPH AND HEATHER ZUJKOWSKI
    7910 BENNETT BRANCH ROAD
    MOUNT AIRY,MD21771     		NONE I FAMILY GRANT 1,568
    JOSEPH CODY STEWART
    4305 BRIAR CLIFF RD
    TEMPLE,TX76502     		NONE I WALMART GIFT CARD 6,200
    JOSEPH JOHN VAIFANUA
    13643 1ST AVE SW
    BURIEN,WA98166     		NONE I GIFT CARD 5,000
    JOSHUA EMER
    6105 MUSTANG MEADOW POINT 302
    COLORADO SPRINGS,CO80922     		NONE I FAMILY GRANT 5,000
    JUSTYN PRATT
    1175 CENTER DRIVE STE 130
    DUPONT,WA98327     		NONE I FAMILY GRANT 2,100
    KENNETH BELL
    5847 BLUE ROCK RD
    CINCINNATI,OH45247     		NONE I FINANCIAL ASSISTANCE 17,067
    KEVIN SCHMIDT
    1096 BOLTON MCLAREN
    LEESVILLE,LA71446     		NONE I FAMILY GRANT 20,933
    KEVIN SWOPE POICE OFFICER
    5574 EGGERT PLACE
    BRIGHTON,MI48116     		NONE I MASKS 500
    KEVIN TURRELL
    9 WORONOCO RD
    BALNDFORD,MA01008     		NONE I VISA GIFT CARD 200
    KIM LEE
    1058 E 1150 N
    OGDEN,UT84404     		NONE I GIFT CARD 200
    LATINO EDUCATIONAL TRAINING INSTITUTE
    6605 202ND ST SW FOYER
    LYNNWOOD,WA98036     		N/A PC MASKS 1,600
    LENDERS LENDING A HAND
    110 GRAND CREEK DR
    LEAGUE CITY,TX77573     		N/A PC MASKS 5,000
    LEO GRUBA
    2370 SIMMONS ST UNIT B
    DUPONT,WA98327     		NONE I FAMILY GRANT 5,000
    LITTLETON ADVENTIST HOSPITAL
    7700 S BROADWAY
    LITTLETON,CO80122     		N/A PC MASKS 1,000
    LOS ROBLES MEDICAL CENTER
    215 W JANSS RD
    THOUSAND OAKS,CA91360     		N/A PC MASKS 400
    MANDY'S PRIMARY HEALTHCARE
    35055 OLD LA HWY 16
    DENHAM SPRINGS,LA70706     		N/A NC MASKS 2,875
    MANSFIELD MISSION CENTER
    601 PLEASANT RIDGE DR
    MANSFIELD,TX76063     		N/A PC MASKS 1,000
    MARC BABCOCK
    880 TAMARACK ST
    JUNCTION CITY,OR97448     		NONE I GIFT CARD 200
    MATTHEW POLING
    524 SEIKEL DR
    CHOCTAW,OK73020     		NONE I VISA GIFT CARD 200
    MAVERICK'S CONSTRUCTION & REPAIR
    4419 CENTENNIAL BLVD 262
    COLORADO SPRINGS,CO80920     		N/A NC SPONSOR VETERAN APPRENTICESHIPS 600
    MCLAREN BAY REGION
    1900 COLUMBUS AVE
    BAY CITY,MI48708     		N/A PC MASKS 500
    MELVIN WITCHER JR
    9321 RICHMOND AVE
    KANSAS CITY,MO64138     		NONE I GIFT CARD 200
    MENDOTA HEIGHTS FIRE DEPT
    2121 DODD RD
    MENDOTA HEIGHTS,MN55120     		N/A GOV MASKS 2,600
    MENDOTA HEIGHTS FIRE DEPT
    2121 DODD RD
    MENDOTA HEIGHTS,MN55120     		N/A GOV MASKS 500
    METHODIST HOSPITAL
    7700 FLOYD CURL DR
    SAN ANTONIO,TX78229     		N/A PC MASKS 500
    MICHAEL MASSENGILL
    2829 ASHLAR DR
    SPRINGFIELD,OH45503     		NONE I AMAZON GIFT CARD 200
    MICHAEL SCHACKLETON
    5301 FRONTIER CIRCLE
    OAKLEY,UT84055     		NONE I GIFT CARD 200
    MICHELLE HOWARD
    1200 BEECHTREE LN
    PFLUGERVILLE,TX78660     		NONE I GIFT CARD 200
    MICHELLE SWOPE RN
    5574 EGGERT PLACE
    BRIGHTON,MI48116     		NONE I MASKS 1,000
    MILFORD REGIONAL MEDICAL CENTER
    14 PROSPECT ST
    MILFORD,MA01757     		N/A PC MASKS 1,000
    MISSION VIEJO HOSPITAL
    2770 MEDICAL CENTER RE
    VIEJO,CA92691     		N/A PC MASKS 1,000
    MOUNT VERNON TOWERS
    300 JOHNSON FERRY ROAD NE
    SANDY SPRINGS,GA30328     		N/A NC MASKS 2,800
    MT CARMEL VETERANS SERVICE CENTER
    530 COMMUNICATION CIRCLE
    COLORADO SPRINGS,CO80905     		N/A PC THANKSGIVING DINNER FOR VETS 12,500
    NICHOLAS POLITZ
    731 FRANCIS AVE
    CELINA,TX75009     		NONE I FINANCIAL ASSISTANCE 22,354
    NICK BROWN
    5930 W EASTWOOD AVE
    CHICAGO,IL60630     		NONE I GIFT CARD 200
    NORTH GA COMMUNITY HOSPICE
    710 S THORNTON AVE A
    DALTON,GA30720     		N/A NC MASKS 1,200
    NORTHSIDE HOSPITAL CHEROKEE
    450 NORTHSIDE CHEROKEE BLVD
    CANTON,GA30115     		N/A PC MASKS 1,000
    OPERATION 300 INC
    PO BOX 3
    PORT SALERNO,FL34992     		N/A PC DONATION 30,500
    PAIGE NANCE
    5995 MUSEUM DR
    WINSTON SALEM,NC27105     		NONE I FUNERAL EXPENSES 5,000
    PAM PARKER DOG TRAINER
    12727 SE 95TH WAY
    RENTON,WA98011     		NONE I SERVICE DOG TRAINING 25,605
    PATRICK CREHAN
    16550 SPACE CENTER BLVD
    HOUSTON,TX77058     		NONE I GIFT CARD 200
    PATRICK JENKINS
    220 LOIS LANE APT 2
    MOREHEAD,KY40351     		NONE I WALMART GIFT CARD 200
    PAUL ADAMS
    1361 SHERIDAN DR
    OGDEN,UT84404     		NONE I GIFT CARD 200
    PAUL LACHANCE
    501 RIVERVIEW DR
    GRAND JUNCTION,CO81507     		NONE I RACE FEE/TRAVEL 2,000
    PETS HEALING VISITS
    10150 LANTERN RD
    FISHERS,IN46037     		N/A PC DONATION 1,000
    PROVIDENCE REGIONAL MEDICAL CENTER - EVERETT
    1700 13TH ST
    EVERETT,WA98201     		N/A PC MASKS 3,500
    PROVIDENCE TARZANA HOSPITAL
    18321 CLARK ST
    TARZAZ,CA91356     		N/A PC MASKS 400
    PURPOSEFULL PAWS
    1583 WINCHESTER AVE UNIT C
    MARTINSBURG,WV25405     		N/A PC SERVICE DOG 7,500
    RADY CHILDREN'S HOSPITAL - SAN DIEGO
    3020 CHILDRENS WAY
    SAN DIEGO,CA92123     		N/A PC MASKS 1,000
    RAINBOW SERVICE DOGS
    1013 E SIMMONS ST
    TUCSON,AZ85719     		N/A PC SERVICE DOG 8,400
    RAY BARROS
    2828 LONG LASSO PASS
    LEANDER,TX78641     		NONE I GIFT CARD 200
    RAYMOND SMITH
    4298 NOTTING HILL DR SW
    ATLANTA,GA30331     		NONE I GIFT CARD 200
    REX HOSPITAL
    4420 LAKE BOONE TRAIL
    RALEIGH,NC27607     		N/A PC MASKS 1,000
    RHONDA GLASS
    1714 PLANTERS WAY
    BOWLING GREEN,KY42104     		NONE I GIFT CARD 200
    RICHARD S LAMBERT
    112 SPRINGMEADE ROAD
    CLINTON,MS39056     		NONE I GIFT CARD 8,000
    ROBERT CLIBURN
    2804 NW 18TH STREET
    OKLAHOMA CITY,OK73107     		NONE I GIFT CARD 200
    ROBERT GREER
    4869 BRASCH RD SE
    PORT ORCHARD,WA98367     		NONE I GIFT CARD 200
    ROBERT LEE TAYLOR
    1865 MERCEDES CT
    ATLANTA,GA30345     		NONE I AMAZON GIFT CARD 200
    ROCKWALL NURSING CARE CENTER
    206 STORRS ST
    ROCKWALL,TX75087     		N/A NC MASKS 800
    ROSEWOOD NURSING CENTER
    534 15TH ST
    LAKE CHARLES,LA70601     		N/A NC MASKS 38,000
    RYAN CHARLES HILL
    8246 DERBYSHIRE CIRCLE
    SACRAMENTO,CA95828     		NONE I GIFT CARD 200
    SABINE MEDICAL CENTER
    240 HIGHLAND DR
    MANY,LA71449     		N/A PC FOOD/MEALS FOR HOSPITAL STAFF 1,057
    SABINE RETIREMENT AND REHAB
    965 FISHER ROAD
    MANY,LA71449     		N/A NC MASKS AND FOOD/MEALS FOR STAFF 39,054
    SADDLES IN SERVICE
    PO BOX 692
    ALPINE,CA91916     		N/A PC DONATION 18,000
    SALEMTOWNE RETIREMENT COMMUNITY
    190 MORAVIAN WAY DR
    WINSTONSALEM,NC27106     		N/A NC MASKS 1,000
    SARA BAY REAL ESTATE
    7333 N TAMIAMI TRAIL
    SARASOTA,FL34243     		N/A NC MASKS 100
    SCOTT ALLEN STETSON SR
    778 WHITE OAK LANE
    NATCHITOCHES,LA71457     		NONE I GIFT CARD 200
    SEA PARTNERS
    PO BOX 271209
    FLOWERMOUND,TX75027     		N/A PC MASKS 2,700
    SHANNON SICAT
    8161 LARSON AVE APT D
    GARDEN GROVE,CA92844     		NONE I MASKS 500
    SHAWN KINGURE
    18859 RIVERWALK DR
    MILTON,DE19968     		NONE I GIFT CARD 200
    SHAWN R DEVANEY
    17 HAVEN WAY
    HOPEDALE,MA01747     		NONE I GIFT CARD 200
    SLAVEN TOMASI
    965 PRAIRIE TIMBER RD
    BURLESON,TX76028     		NONE I GIFT CARD 200
    SMITH FIELD MANOR SENIOR LIVING FACILITY
    902 BERKSHIRE RD
    SMITHFIELD,NC27577     		N/A NC MASKS 3,300
    SOLARIS NURSING HOME
    110 KAY LARKIN DR
    PALATAKA,FL32177     		N/A NC MASKS 400
    SOUTHSIDE BASEBALL CREW
    326 RIO DR
    CHESAPEAKE,VA23322     		N/A PC DONATION 750
    ST JOSEPH MEDICAL CENTER
    1717 S J ST
    TACOMA,WA98405     		N/A PC MASKS 1,700
    ST JOSEPH'S HOSPITAL
    5665 PEACHTREE DUNWOODDY RD
    ATLANTA,GA30342     		N/A PC MASKS 762
    ST DAVID MEDICAL CENTER AUSTIN TX
    919 E 32ND ST
    AUSTIN,TX78705     		N/A PC MASKS 525
    STEPHEN PAGE
    5112 TRENTON DR
    MILTON,FL32571     		NONE I FAMILY GRANT 6,675
    STEVEN JOHNSON
    5728 EVERIT DRIVE
    RACINE,WI53406     		NONE I GIFT CARD 200
    STILLWATER RANCH
    8511 COYOTE RUN
    LOVELAND,CO80537     		N/A PC DONATION 40,000
    SUNRISE OF BOTHELL - SENIOR LIVING
    10605 NE 185TH ST
    BOTHELL,WA98011     		N/A NC MASKS 2,300
    SUTTER TRACY COMMUNITY HOSPITAL
    1420 N TRACY BLVD
    TRACY,CA95376     		N/A PC MASKS 300
    TAILS OF VALOR
    PO BOX 127
    COOPERSBURG,PA18036     		N/A PC SERVICE DOGS/SCHOLARSHIP 35,000
    TAMMERA SCHUMANN
    431 LAUREL ST
    REEDSBURG,WI53959     		NONE I AMAZON GIFT CARD 200
    THE CROWD CHANGE
    420 W AVE 33 SUITE 4
    LOS ANGELES,CA90031     		N/A NC MASK INITIATIVE 102,483
    THE INN AT GREENWOOD VILLAGE
    5565 S YOSEMITE ST
    GREENWOOD VILLAGE,CO80111     		N/A NC MASKS 1,000
    THE VETERAN SPOUSE PROJECT
    PO BOX 4216
    OAK RIDGE,TN37831     		N/A PC DONATION 6,500
    THOMAS SEROCKI
    PO BOX 791
    LAKE MILLS,WI53551     		NONE I FAMILY GRANT 10,000
    TIMOTHY O'SULLIVAN
    3432 LYTHAM LANE
    BEAVERCREEK,OH45440     		NONE I WALMART GIFT CARD 200
    UMASS MEMORIAL MEDICAL CENTER WESTBROOK
    55 N LAKE AVE
    WORCESTER,MA01655     		N/A PC MASKS 208
    UNIVERSITY OF MASSACHUSETTS
    37 MATHER DR
    AMHERST,MA01003     		N/A PC MASKS 1,500
    UT SOUTHWESTERN MEDICAL CENTER
    5323 HARRY HINES BLVD
    DALLAS,TX75390     		N/A PC MASKS 1,600
    VA BOSTON HEALTHCARE SYSTEM
    1400 VFW PKWY 135
    WEST ROXBURY,MA02132     		N/A PC MASKS 2,100
    VA HOSPITAL
    10 N GREENE ST
    BALTIMORE,MD21201     		N/A PC MASKS 1,000
    VALLEY MEDICAL CENTER
    400 S 43D ST
    RENTON,WA98055     		N/A PC MASKS 500
    WALTER DAVIS
    58014 FLINT STONE DRIVE
    WESTERVILLE,OH43081     		NONE I GIFT CARD 200
    WASHINGTON NATIONAL GUARD
    CAMP MURRAY
    TACOMA,WA98433     		N/A PC CHRISTMAS GIFTS FOR 5,000
    WELLSTAR KENNESTONE HOSPITAL
    677 CHURCH ST
    MARIETTA,GA30060     		N/A PC MASKS 1,200
    WI VETERANS CHAMBER OF COMMERCE
    5027 W NORTH AVE
    MILWAUKEE,WI53208     		N/A PC MEMBERSHIP 200
    WILLIAM GERALD GORDY
    319 WILLIAMS AVE
    NATCHITOCHES,LA71457     		NONE I FINANCIAL ASSISTANCE/GIFT CARD 18,200
    Total .................................bullet 3a 1,015,960
    bApproved for future payment
    ANTHONY ALMEIDA
    PO BOX 1124
    SKOWHEGAN,ME04976     		NONE I FAMILY GRANT 2,112
    BEN LUNAK
    9720 ARBOR WALK LANE
    COLORADO SPRINGS,CO80831     		NONE I GIFT CARD 10,000
    BRIGADOON SERVICE DOGS
    4759 MISSION ROAD
    BELLINGHAM,WA98226     		N/A PC SERVICE DOG 60,000
    CUSTOM CANINES SERVICE DOG ACADEMY INC
    2310 MUSTANG WAY
    MADISON,WI53718     		N/A PC SERVICE DOGS/SCHOLARSHIP 160,000
    DAVID BICKNELL
    8711 W RINGBILL
    GARDEN CITY,ID83714     		NONE I FAMILY GRANT 7,959
    GARY WETZEL
    2508 17TH AVE
    SOUTH MILWAUKEE,WI53172     		NONE I FAMILY GRANT 4,000
    GERALD GAUDET
    4546 SUNDANCE CT
    COTTAGE GROVE,WI53527     		NONE I FAMILY GRANT 1,045
    JIMMY CHAMBERS
    1455 LUKE LANE
    LAWRENCEVILLE,GA30043     		NONE I FAMILY GRANT 978
    JUSTYN PRATT
    1175 CENTER DRIVE STE 130
    DUPONT,WA98327     		NONE I FAMILY GRANT 2,900
    LABS FOR LIBERTY
    23811 MARSHALL GULCH RD
    HILL CITY,SC57745     		N/A PC SERVICE DOG 20,000
    NEXT STEP SERVICE DOGS
    PO BOX 3930
    DANA POINT,CA92629     		N/A PC SERVICE DOG 10,000
    NICHOLAS POLITZ
    731 FRANCIS AVE
    CELINA,TX75009     		NONE I FINANCIAL ASSISTANCE 12,646
    RAINBOW SERVICE DOGS
    1013 E SIMMONS ST
    TUCSON,AZ85719     		N/A PC SERVICE DOG 50,500
    SERVICE DOGS ALABAMA
    8365 MOBILE HW
    HOPE HULL,AL36043     		N/A PC SERVICE DOG 40,000
    STEPHEN PAGE
    5112 TRENTON DR
    MILTON,FL32571     		NONE I FAMILY GRANT 3,325
    WARRIOR CANINE CONNECTION
    14934 SCHAEFFER ROAD
    BOYDS,MD20841     		N/A PC SERVICE DOG 30,000
    Total .................................bullet 3b 415,465
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 5,942  
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 5,942 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    5,942
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ADVENT HEALTH OCALA1500 SW 1ST AVE
    OCALA,FL34471     		N/A PC MASKS 700
    ALBERT LESTENKOF2723 MONTEBELLO DR WEST
    COLORADO SPRINGS,CO80918     		NONE I FAMILY GRANT 1,500
    ALEX M PICKETT11512 44TH AVE E
    TACOMA,WA98446     		NONE I GIFT CARD 200
    ALTON RAY CRAGER2829 HIGHWAY 117
    LEESVILLE,LA71446     		NONE I FINANCIAL GRANT 844
    ANDREA KAICHI125 FYRL ST
    CLEARFIELD,KS40313     		NONE I WALMART GIFT CARD 200
    ANTHONY ALMEIDAPO BOX 1124
    SKOWHEGAN,ME04976     		NONE I FAMILY GRANT 1,888
    ANTHONY DERRY3303 GULF OF MEXICO DR
    LONGBOAT KEY,FL34228     		NONE I FUNERAL EXPENSES FOR WIFE 1,265
    ARCHER LODGE FIRE DEPT6483 COVERED BRIDGE RD
    CLAYTON,NC27527     		N/A GOV MASKS 1,700
    ARCHIE KENDALL214 WEST LEBLANC ST
    DEQUINCY,LA70633     		NONE I GIFT CARD 200
    ASSOCIATION OF THE UNITED STATES ARMY2425 WILSON BLVD
    ARLINGTON,VA22201     		N/A PC TOYS FOR NATIONAL GUARD CHILDREN 5,080
    ATLANTA PUBLIC SCHOOL SYSTEM130 TRINITY AVE SW
    ATLANTA,GA30303     		N/A PC MASKS 1,200
    ATLANTA PUBLIC SCHOOL SYSTEM130 TRINITY AVE SW
    ATLANTA,GA30303     		NONE GOV MASKS 5,200
    AUBURN FIRE DEPT47 AUBURN ST
    AUBURN,MA01501     		N/A GOV MASKS 100
    AUBURN POLICE DEPARTMENT416 OXFORD ST N
    AUBURN,MA01501     		N/A GOV MASKS 100
    AURORA POLICE DEPARTMENT15001 E ALAMEDA AVE
    AURORA,CO80012     		N/A GOV MASKS 1,000
    AZALEA ESTATES OF GONZALES2305 S PUPERA AVE
    GONZALES,LA70737     		N/A NC MASKS 1,765
    BANNER HEALTH1625 CAMPBELL AVE
    TUCSON,AZ85719     		N/A PC MASKS 500
    BAY TREE CENTER2600 HIGHLANDS BLVD N
    PALM HARBOR,FL34684     		N/A NC MASKS 4,000
    BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE1650 W COLLEGE ST
    GRAPEVINE,TX76051     		N/A PC MASKS 1,800
    BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE2401 S 31ST ST
    TEMPLE,TX76508     		N/A PC MASKS 6,300
    BAYLOR UNIVERSITY MEDICAL CENTER DALLAS3500 GASTON AVE
    DALLAS,TX75246     		N/A PC MASKS 770
    BELLIN HOSPITAL744 S WEBSTER AVE
    GREEN BAY,WI54301     		N/A PC MASKS 3,400
    BEN LUNAK9720 ARBOR WALK LANE
    COLORADO SPRINGS,CO80831     		NONE I GIFT CARD 500
    BENJAMIN HECK1978 CHAFFEE AVE HOME
    DUPONT,WA98327     		NONE I WALMART GIFT CARD 200
    BENJAMIN SHAW353 PEG LEG LANE
    MANY,LA71449     		NONE I GIFT CARD 500
    BETHANY REESE325 W DIVISION ST
    PILOT POINT,TX76258     		NONE I GIFT CARD 200
    BILL MOORE2341 DOVE LN NE
    OLYMPIA,WA98506     		NONE I GIFT CARD 200
    BRANDON ANTHONY KOZLOWSKI185 INLAND CIRCLE
    NEWMAN,GA30263     		NONE I FAMILY GRANT 6,750
    BRETT GARCIA3056 STRAND RD
    ROCKLIN,CA95865     		NONE I WALMART GIFT CARD 200
    BRIGADOON SERVICE DOGS4759 MISSION ROAD
    BELLINGHAM,WA98226     		N/A PC SERVICE DOG 10,000
    BROOMFIELD FIRE DEPT CO101 SPADER WAY
    BROOMFIELD,CO80020     		N/A GOV MASKS 2,800
    BYRD HOSPITAL1020 FERTITTA BLVD
    LEESVILLE,LA71446     		N/A PC FOOD/MEALS FOR HOSPITAL STAFF 1,057
    CATREMA ALMONTE128 COLONIAL RD
    PROVIDENCE,RI02903     		NONE I GIFT CARD 200
    CHAD DOWNING68 COLONIAL DR
    TELFORD,PA18969     		NONE I GIFT CARD 200
    CHADD WINTERBURG4810 CLASSIC DRIVE
    WEST PALM BEACH,FL33417     		NONE I GIFT CARD 200
    CHERYL SCHMIDT12887 PHILLIPS RIDGE RD SE
    MONROE,WA98272     		NONE I HOME REPAIR GRANT 15,755
    CHERYL SWALLING3503 SOUTH 38TH ST 106
    TACOMA,WA98409     		NONE I VISA GIFT CARD 200
    CHESAPEAK FIRE AND RESCUE304 ALBEMARIE DR
    CHESAPEAKE,VA23322     		N/A GOV FOOD/MEALS FOR FIRE AND RESCUE STAFF 1,057
    CHESAPEAKE GENERAL HOSPITAL ER736 N BATTLEFIELD BLVD
    CHESAPEAKE,VA23320     		N/A PC FOOD/MEALS FOR ER STAFF 1,057
    CHRIS BARNSON8918 107TH ST SW
    LAKEWOOD,WA98498     		NONE I GRANT 21
    CHRISTOPHER POBLADOR2110 E EMPIRE UNIT 4
    BLOOMINGTON,IL61704     		NONE I FINANCIAL ASSISTANCE GRANT 1,000
    CITRUS MEMORIAL HOSPITAL502 W HIGHLAND BLVD
    INVERNESS,FL34452     		N/A PC MASKS 800
    CITY OF BURLESON141 W RENFRO ST
    BURLESON,TX76028     		N/A GOV MASKS 1,600
    CITY OF COLORADO SPRINGS FIRE DEPT375 PRINTERS PKWAY
    COLORADO SPRINGS,CO80901     		N/A GOV MASKS 3,200
    CLIFFORD GLEDHIL353 BROADVIEW DR
    JIM THORPE,PA18229     		NONE I GIFT CARD 200
    CLINT LORANCE4226 CR 1098
    CELESTE,TX75423     		NONE I AMAZON GIFT CARD 200
    CLOVERLEAF PEDIATRICS4200 N CLOVERLEAF DR STE F
    SAINT PETERS,MO63376     		N/A PC MASKS 1,500
    COAST GUARD RECRUITING1100 HAMMOND DR 460B
    SANDY SPRINGS,GA30328     		N/A GOV MASKS 1,525
    COASTLINE CANINE971 9TH ST SW
    NAPLES,FL34117     		N/A NC SERVICE DOG 15,000
    CODY JAMES GOODRICH20439 COUNTY ROAD 17
    ELBERT,CO80106     		NONE I GIFT CARD 200
    COREY SANDERS22690 SW UPPER ROY ST
    SHERWOOD,OR97140     		NONE I GIFT CARD 200
    CUSTOM CANINES SERVICE DOG ACADEMY INC2310 MUSTANG WAY
    MADISON,WI53718     		N/A PC SERVICE DOGS/SCHOLARSHIP 60,000
    DANI FIGUEROA4512 36TH ST SOUTH B2
    ARLINGTON,VA22206     		NONE I FINANCIAL ASSISTANCE 5,250
    DARLENE GILBREATH4215N MAJOR DR APT 511
    BEAUMONT,TX77713     		NONE I FINANCIAL GRANT 4,000
    DARRICK BROOKS1401 3RD AVE SE
    AUSTIN,MN55912     		NONE I FINANCIAL ASSISTANCE 3,073
    DAVID BICKNELL8711 W RINGBILL
    GARDEN CITY,ID83714     		NONE I FAMILY GRANT 2,041
    DAVID CHENEY2250 FOX AVE THROUGH 12/9/2020
    MADISON,WI53711     		NONE I FAMILY GRANT 8,000
    DAVID HAWKINS525 AZALEA ST
    THOUSAND OAKS,CA91360     		NONE I GIFT CARD 200
    DAVID MORLEY21904 JANSKY RD E
    GRAHAM,WA98338     		NONE I GIFT CARD 5,000
    DEBRA COLEMAN1828 E QUEENSDALE ST
    COMPTON,CA90221     		NONE I MASKS 500
    DELAWARE ORTHOPEDICS3401 BRANDYWINE PKWY
    WILIMINGTON,DE19803     		N/A NC MASKS 11,000
    DERIDDER RETIREMENT AND REHABILITATION CENTER1420 BLANKENSHIP DR
    DERIDDER,LA70634     		N/A NC MASKS 38,000
    DEVIN ARNOLD14450 BIG OAK BAY ROAD
    TYERL,TX75707     		NONE I GIFT CARD 200
    DOGS OF VALOR105 E HILLIARD LN
    EUGENE,OR97404     		N/A PC SERVICE DOG 5,500
    DON REED2524 WEYMOUTH WAY
    NORMAN,OK73071     		NONE I FAMILY GRANT 2,500
    DONNIE AND DANA PARKER134 J HEXT RD
    HORNBECK,LA71439     		NONE I FUNERAL EXPENSES 14,956
    DOUGLAS TARGETT1855 PROMENADE LANE
    XENIA,OH45385     		NONE I GIFT CARD 200
    DR GWENN SANTORO219 ANDERSON
    BUFFALO,NY14222     		NONE I MASKS 1,000
    DR STEVEN SMITH ALINA HOSPITAL303 CATLIN ST
    BUFFALO,MN55313     		NONE I MASKS 2,700
    DR JANET HAN INOVA6565 ARLINGTON BLVD 500
    FALLS CHURCH,VA22042     		NONE I MASKS 792
    DR SASKIA THOMPSON5970 YELLOWTAIL ST
    TIMNATH,CO80574     		NONE I MASKS 1,800
    E HEMPFIELD AMBULANCE CORP1700 NISSLEY RD
    LANDISVILLE,PA17538     		N/A NC MASKS 5,000
    EARL JURY727 PRIVATE RD 1508
    BANDERA,TX78003     		NONE I FAMILY GRANT 4,419
    ELAN POBLADOR2110 E EMPLIRE UNIT 4
    BLOOMINGTON,IL61704     		NONE I FAMILY FURNITURE GRANT 2,000
    ELITE LEARNING ACADEMY & PRESCHOOL10746 S 204TH ST 3
    GRETNA,NE68028     		N/A NC MASKS 1,000
    ELMHURST POLICE DEPARTMENT125 E 1ST ST
    ELMHURST,IL60126     		N/A GOV MASKS 2,000
    EMORY UNIVERSITY HOSPITAL1364 CLIFTON RD
    ATLANTA,GA30322     		N/A PC MASKS 1,500
    ERIC BEACH1504 W 7TH ST
    MARSHFIELD,WI54449     		NONE I GIFT CARD 200
    ERICA HARPERCHIAZZESE750 E IRVINGTON RD APT 1116
    TUCSON,AZ85714     		NONE I GIFT CARD 200
    ERIK BURTON10226 PARK STREAM DRIVE
    INDIANAPOLIS,IN46229     		NONE I FAMILY GRANT 3,500
    EUGENE MYERS34 ALVIN DR
    PINEVILLE,LA71360     		NONE I FAMILY GRANT 2,200
    EVERETT FOOD BANK1230 BROADWAY
    EVERETT,WA98201     		N/A PC MASKS 770
    EVERGREEN HEALTH FOUNDATION CO DR RAND UNGER12040 NE 128TH ST
    KIRKLAND,WA98034     		N/A PC MASKS 19,000
    FALL RIVER JEWISH HOME538 ROBERSON ST
    FALL RIVER,MA02720     		N/A PC MASKS 3,200
    FRANCES WIEDENHOEFT5806 JULIE STREET
    MADISON,WI53705     		NONE I GIFT CARD 200
    FRANCISCO ALCAZAR9924 RAILROAD DR APT 85
    EL PASO,TX79924     		NONE I VISA GIFT CARD 200
    FREDERICK AND FLORENCE FERNANDEZ780 S GOLDFINCH WAY
    ANAHEIM,CA92807     		NONE I MASKS 500
    FREDERICK KRAUSE10435 N 105TH AVE
    SUN CITY,AZ85351     		NONE I VISA GIFT CARD 200
    GARY LUBIN JR6730 PHANTOM WAY
    COLORADO SPRINGS,CO80925     		NONE I WALMART GIFT CARD 200
    GARY PARKER26397 TAYLOR PARK RD
    LYONS,OR97358     		NONE I FAMILY GRANT 10,000
    GARY WETZEL2508 17TH AVE
    SOUTH MILWAUKEE,WI53172     		NONE I FAMILY GRANT 6,000
    GERALD GAUDET4546 SUNDANCE CT
    COTTAGE GROVE,WI53527     		NONE I FAMILY GRANT 8,955
    GIOVANNI DESPOSSES7152 ALPINE DAISTY DR
    COLORADO SPRINGS,CO80925     		NONE I FAMILY GRANT 5,000
    GOLDEN DOODLE LOVELYPO BOX 50008
    MESA,AZ85208     		N/A NC SERVICE DOG 4,146
    GRAND RIVER HOSPITAL801 AIRPORT RD
    RIFLE,CO81650     		N/A PC MASKS 1,000
    GREG FAGAN300 GATEWOOD DR
    WINSTON SALEM,NC27104     		NONE I FAMILY GRANT 3,484
    GREGORY HARRISON287 THOMPSON STREET
    SUMMIT POINT,WV25446     		NONE I GIFT CARD 200
    GREGORY TYLER BENNETT1389 ENTRANCE RD 105
    ROBELINE,LA71469     		NONE I VISA GIFT CARD 200
    HARMONY AT HOPE MILLS7501 ROCKFISH ROAD
    HOPE MILLS,NC28306     		N/A NC MASKS 1,000
    HARMONY POINTE NURSING CENTER1655 YARROW ST
    LAKEWOOD,CO80214     		N/A NC MASKS 600
    HARVESTING INTERNATIONAL MINISTRY CENTER INC150 SS 6TH AVE
    MANSFIELD,TX76063     		N/A PC MASKS 1,000
    HELENA HASSAN5901 MONTROSE ROAD APT C1201
    NORTH BETHESDA,MD20852     		NONE I GIFT CARD 200
    HILLARY DALY4895 HAHNS PEAK DR 104
    LOVELAND,CO80538     		NONE I FINANCIAL ASSISTANCE 151
    HOLLY A STOLL231 W WYNWOOD DR
    SHELTON,WA98584     		NONE I GIFT CARD 200
    HOLLY HILL AND REHABILITATION CENTER100 KINGSTON ROAD
    SUPHUR,LA70663     		N/A NC MASKS 38,000
    HOLY ROSARY CATHOLIC CHURCH44450 LA-429
    ST AMANT,LA70774     		N/A PC MASKS 1,965
    HUB CITY SERVICE DOGS6068 US HIGHWAY 90 STE 1-126
    HATTIESBURG,MS39402     		N/A PC SERVICE DOG 8,000
    JACK MATHENY GROUP700 ZEAGER DR
    PALATAKA,FL32177     		N/A NC MASKS 400
    JACKSON HOSPITAL MONTGOMERY1725 PINE ST
    MONTGOMERY,AL36106     		N/A PC MASKS 2,500
    JAMES HALL38590 N TUMBLEWEED LN
    SAN TAN VALLEY,AZ85140     		NONE I GIFT CARD/GRANT 1,710
    JANELLE MASSIATTE7502A RIDGE ROAD
    FREDERICK,MD21702     		NONE I GIFT CARD 200
    JARED WHARTON2750 WILLIAMSON PLACE NW 100
    DUPONT,WA98327     		NONE I FAMILY GRANT 5,176
    JAVA JOE'S8 E BALTIMORE ST
    BALTIMORE,MD21202     		N/A NC MASKS 1,000
    JAXSEN MACKENZIE2801 N ORACLE RD APT 917
    TUCSON,AZ85705     		NONE I GIFT CARD 200
    JERRY HARP21455 STERLING DR
    LAKE FOREST,CA92630     		NONE I FINANCIAL ASSISTANCE- AUTO 20,000
    JESSE WILKEN2543 162ND AVE NE
    HAM LAKE,MN55304     		NONE I FINANCIAL ASSISTANCE 4,500
    JIMMY CHAMBERS1455 LUKE LANE
    LAWRENCEVILLE,GA30043     		NONE I FAMILY GRANT 4,022
    JOHN ALLEN MARTINEZ3015 ALLEN-MARTHAVILLE ROAD
    ROBELINE,LA71469     		NONE I WALMART GIFT CARD 200
    JOHN PALMER1733 OAKTON ST
    EVANSTON,IL60202     		NONE I GIFT CARD 200
    JOSEPH AND HEATHER ZUJKOWSKI7910 BENNETT BRANCH ROAD
    MOUNT AIRY,MD21771     		NONE I FAMILY GRANT 1,568
    JOSEPH CODY STEWART4305 BRIAR CLIFF RD
    TEMPLE,TX76502     		NONE I WALMART GIFT CARD 6,200
    JOSEPH JOHN VAIFANUA13643 1ST AVE SW
    BURIEN,WA98166     		NONE I GIFT CARD 5,000
    JOSHUA EMER6105 MUSTANG MEADOW POINT 302
    COLORADO SPRINGS,CO80922     		NONE I FAMILY GRANT 5,000
    JUSTYN PRATT1175 CENTER DRIVE STE 130
    DUPONT,WA98327     		NONE I FAMILY GRANT 2,100
    KENNETH BELL5847 BLUE ROCK RD
    CINCINNATI,OH45247     		NONE I FINANCIAL ASSISTANCE 17,067
    KEVIN SCHMIDT1096 BOLTON MCLAREN
    LEESVILLE,LA71446     		NONE I FAMILY GRANT 20,933
    KEVIN SWOPE POICE OFFICER5574 EGGERT PLACE
    BRIGHTON,MI48116     		NONE I MASKS 500
    KEVIN TURRELL9 WORONOCO RD
    BALNDFORD,MA01008     		NONE I VISA GIFT CARD 200
    KIM LEE1058 E 1150 N
    OGDEN,UT84404     		NONE I GIFT CARD 200
    LATINO EDUCATIONAL TRAINING INSTITUTE6605 202ND ST SW FOYER
    LYNNWOOD,WA98036     		N/A PC MASKS 1,600
    LENDERS LENDING A HAND110 GRAND CREEK DR
    LEAGUE CITY,TX77573     		N/A PC MASKS 5,000
    LEO GRUBA2370 SIMMONS ST UNIT B
    DUPONT,WA98327     		NONE I FAMILY GRANT 5,000
    LITTLETON ADVENTIST HOSPITAL7700 S BROADWAY
    LITTLETON,CO80122     		N/A PC MASKS 1,000
    LOS ROBLES MEDICAL CENTER215 W JANSS RD
    THOUSAND OAKS,CA91360     		N/A PC MASKS 400
    MANDY'S PRIMARY HEALTHCARE35055 OLD LA HWY 16
    DENHAM SPRINGS,LA70706     		N/A NC MASKS 2,875
    MANSFIELD MISSION CENTER601 PLEASANT RIDGE DR
    MANSFIELD,TX76063     		N/A PC MASKS 1,000
    MARC BABCOCK880 TAMARACK ST
    JUNCTION CITY,OR97448     		NONE I GIFT CARD 200
    MATTHEW POLING524 SEIKEL DR
    CHOCTAW,OK73020     		NONE I VISA GIFT CARD 200
    MAVERICK'S CONSTRUCTION & REPAIR4419 CENTENNIAL BLVD 262
    COLORADO SPRINGS,CO80920     		N/A NC SPONSOR VETERAN APPRENTICESHIPS 600
    MCLAREN BAY REGION1900 COLUMBUS AVE
    BAY CITY,MI48708     		N/A PC MASKS 500
    MELVIN WITCHER JR9321 RICHMOND AVE
    KANSAS CITY,MO64138     		NONE I GIFT CARD 200
    MENDOTA HEIGHTS FIRE DEPT2121 DODD RD
    MENDOTA HEIGHTS,MN55120     		N/A GOV MASKS 2,600
    MENDOTA HEIGHTS FIRE DEPT2121 DODD RD
    MENDOTA HEIGHTS,MN55120     		N/A GOV MASKS 500
    METHODIST HOSPITAL7700 FLOYD CURL DR
    SAN ANTONIO,TX78229     		N/A PC MASKS 500
    MICHAEL MASSENGILL2829 ASHLAR DR
    SPRINGFIELD,OH45503     		NONE I AMAZON GIFT CARD 200
    MICHAEL SCHACKLETON5301 FRONTIER CIRCLE
    OAKLEY,UT84055     		NONE I GIFT CARD 200
    MICHELLE HOWARD1200 BEECHTREE LN
    PFLUGERVILLE,TX78660     		NONE I GIFT CARD 200
    MICHELLE SWOPE RN5574 EGGERT PLACE
    BRIGHTON,MI48116     		NONE I MASKS 1,000
    MILFORD REGIONAL MEDICAL CENTER14 PROSPECT ST
    MILFORD,MA01757     		N/A PC MASKS 1,000
    MISSION VIEJO HOSPITAL2770 MEDICAL CENTER RE
    VIEJO,CA92691     		N/A PC MASKS 1,000
    MOUNT VERNON TOWERS300 JOHNSON FERRY ROAD NE
    SANDY SPRINGS,GA30328     		N/A NC MASKS 2,800
    MT CARMEL VETERANS SERVICE CENTER530 COMMUNICATION CIRCLE
    COLORADO SPRINGS,CO80905     		N/A PC THANKSGIVING DINNER FOR VETS 12,500
    NICHOLAS POLITZ731 FRANCIS AVE
    CELINA,TX75009     		NONE I FINANCIAL ASSISTANCE 22,354
    NICK BROWN5930 W EASTWOOD AVE
    CHICAGO,IL60630     		NONE I GIFT CARD 200
    NORTH GA COMMUNITY HOSPICE710 S THORNTON AVE A
    DALTON,GA30720     		N/A NC MASKS 1,200
    NORTHSIDE HOSPITAL CHEROKEE450 NORTHSIDE CHEROKEE BLVD
    CANTON,GA30115     		N/A PC MASKS 1,000
    OPERATION 300 INCPO BOX 3
    PORT SALERNO,FL34992     		N/A PC DONATION 30,500
    PAIGE NANCE5995 MUSEUM DR
    WINSTON SALEM,NC27105     		NONE I FUNERAL EXPENSES 5,000
    PAM PARKER DOG TRAINER12727 SE 95TH WAY
    RENTON,WA98011     		NONE I SERVICE DOG TRAINING 25,605
    PATRICK CREHAN16550 SPACE CENTER BLVD
    HOUSTON,TX77058     		NONE I GIFT CARD 200
    PATRICK JENKINS220 LOIS LANE APT 2
    MOREHEAD,KY40351     		NONE I WALMART GIFT CARD 200
    PAUL ADAMS1361 SHERIDAN DR
    OGDEN,UT84404     		NONE I GIFT CARD 200
    PAUL LACHANCE501 RIVERVIEW DR
    GRAND JUNCTION,CO81507     		NONE I RACE FEE/TRAVEL 2,000
    PETS HEALING VISITS10150 LANTERN RD
    FISHERS,IN46037     		N/A PC DONATION 1,000
    PROVIDENCE REGIONAL MEDICAL CENTER - EVERETT1700 13TH ST
    EVERETT,WA98201     		N/A PC MASKS 3,500
    PROVIDENCE TARZANA HOSPITAL18321 CLARK ST
    TARZAZ,CA91356     		N/A PC MASKS 400
    PURPOSEFULL PAWS1583 WINCHESTER AVE UNIT C
    MARTINSBURG,WV25405     		N/A PC SERVICE DOG 7,500
    RADY CHILDREN'S HOSPITAL - SAN DIEGO3020 CHILDRENS WAY
    SAN DIEGO,CA92123     		N/A PC MASKS 1,000
    RAINBOW SERVICE DOGS1013 E SIMMONS ST
    TUCSON,AZ85719     		N/A PC SERVICE DOG 8,400
    RAY BARROS2828 LONG LASSO PASS
    LEANDER,TX78641     		NONE I GIFT CARD 200
    RAYMOND SMITH4298 NOTTING HILL DR SW
    ATLANTA,GA30331     		NONE I GIFT CARD 200
    REX HOSPITAL4420 LAKE BOONE TRAIL
    RALEIGH,NC27607     		N/A PC MASKS 1,000
    RHONDA GLASS1714 PLANTERS WAY
    BOWLING GREEN,KY42104     		NONE I GIFT CARD 200
    RICHARD S LAMBERT112 SPRINGMEADE ROAD
    CLINTON,MS39056     		NONE I GIFT CARD 8,000
    ROBERT CLIBURN2804 NW 18TH STREET
    OKLAHOMA CITY,OK73107     		NONE I GIFT CARD 200
    ROBERT GREER4869 BRASCH RD SE
    PORT ORCHARD,WA98367     		NONE I GIFT CARD 200
    ROBERT LEE TAYLOR1865 MERCEDES CT
    ATLANTA,GA30345     		NONE I AMAZON GIFT CARD 200
    ROCKWALL NURSING CARE CENTER206 STORRS ST
    ROCKWALL,TX75087     		N/A NC MASKS 800
    ROSEWOOD NURSING CENTER534 15TH ST
    LAKE CHARLES,LA70601     		N/A NC MASKS 38,000
    RYAN CHARLES HILL8246 DERBYSHIRE CIRCLE
    SACRAMENTO,CA95828     		NONE I GIFT CARD 200
    SABINE MEDICAL CENTER240 HIGHLAND DR
    MANY,LA71449     		N/A PC FOOD/MEALS FOR HOSPITAL STAFF 1,057
    SABINE RETIREMENT AND REHAB965 FISHER ROAD
    MANY,LA71449     		N/A NC MASKS AND FOOD/MEALS FOR STAFF 39,054
    SADDLES IN SERVICEPO BOX 692
    ALPINE,CA91916     		N/A PC DONATION 18,000
    SALEMTOWNE RETIREMENT COMMUNITY190 MORAVIAN WAY DR
    WINSTONSALEM,NC27106     		N/A NC MASKS 1,000
    SARA BAY REAL ESTATE7333 N TAMIAMI TRAIL
    SARASOTA,FL34243     		N/A NC MASKS 100
    SCOTT ALLEN STETSON SR778 WHITE OAK LANE
    NATCHITOCHES,LA71457     		NONE I GIFT CARD 200
    SEA PARTNERSPO BOX 271209
    FLOWERMOUND,TX75027     		N/A PC MASKS 2,700
    SHANNON SICAT8161 LARSON AVE APT D
    GARDEN GROVE,CA92844     		NONE I MASKS 500
    SHAWN KINGURE18859 RIVERWALK DR
    MILTON,DE19968     		NONE I GIFT CARD 200
    SHAWN R DEVANEY17 HAVEN WAY
    HOPEDALE,MA01747     		NONE I GIFT CARD 200
    SLAVEN TOMASI965 PRAIRIE TIMBER RD
    BURLESON,TX76028     		NONE I GIFT CARD 200
    SMITH FIELD MANOR SENIOR LIVING FACILITY902 BERKSHIRE RD
    SMITHFIELD,NC27577     		N/A NC MASKS 3,300
    SOLARIS NURSING HOME110 KAY LARKIN DR
    PALATAKA,FL32177     		N/A NC MASKS 400
    SOUTHSIDE BASEBALL CREW326 RIO DR
    CHESAPEAKE,VA23322     		N/A PC DONATION 750
    ST JOSEPH MEDICAL CENTER1717 S J ST
    TACOMA,WA98405     		N/A PC MASKS 1,700
    ST JOSEPH'S HOSPITAL5665 PEACHTREE DUNWOODDY RD
    ATLANTA,GA30342     		N/A PC MASKS 762
    ST DAVID MEDICAL CENTER AUSTIN TX919 E 32ND ST
    AUSTIN,TX78705     		N/A PC MASKS 525
    STEPHEN PAGE5112 TRENTON DR
    MILTON,FL32571     		NONE I FAMILY GRANT 6,675
    STEVEN JOHNSON5728 EVERIT DRIVE
    RACINE,WI53406     		NONE I GIFT CARD 200
    STILLWATER RANCH8511 COYOTE RUN
    LOVELAND,CO80537     		N/A PC DONATION 40,000
    SUNRISE OF BOTHELL - SENIOR LIVING10605 NE 185TH ST
    BOTHELL,WA98011     		N/A NC MASKS 2,300
    SUTTER TRACY COMMUNITY HOSPITAL1420 N TRACY BLVD
    TRACY,CA95376     		N/A PC MASKS 300
    TAILS OF VALORPO BOX 127
    COOPERSBURG,PA18036     		N/A PC SERVICE DOGS/SCHOLARSHIP 35,000
    TAMMERA SCHUMANN431 LAUREL ST
    REEDSBURG,WI53959     		NONE I AMAZON GIFT CARD 200
    THE CROWD CHANGE420 W AVE 33 SUITE 4
    LOS ANGELES,CA90031     		N/A NC MASK INITIATIVE 102,483
    THE INN AT GREENWOOD VILLAGE5565 S YOSEMITE ST
    GREENWOOD VILLAGE,CO80111     		N/A NC MASKS 1,000
    THE VETERAN SPOUSE PROJECTPO BOX 4216
    OAK RIDGE,TN37831     		N/A PC DONATION 6,500
    THOMAS SEROCKIPO BOX 791
    LAKE MILLS,WI53551     		NONE I FAMILY GRANT 10,000
    TIMOTHY O'SULLIVAN3432 LYTHAM LANE
    BEAVERCREEK,OH45440     		NONE I WALMART GIFT CARD 200
    UMASS MEMORIAL MEDICAL CENTER WESTBROOK55 N LAKE AVE
    WORCESTER,MA01655     		N/A PC MASKS 208
    UNIVERSITY OF MASSACHUSETTS37 MATHER DR
    AMHERST,MA01003     		N/A PC MASKS 1,500
    UT SOUTHWESTERN MEDICAL CENTER5323 HARRY HINES BLVD
    DALLAS,TX75390     		N/A PC MASKS 1,600
    VA BOSTON HEALTHCARE SYSTEM1400 VFW PKWY 135
    WEST ROXBURY,MA02132     		N/A PC MASKS 2,100
    VA HOSPITAL10 N GREENE ST
    BALTIMORE,MD21201     		N/A PC MASKS 1,000
    VALLEY MEDICAL CENTER400 S 43D ST
    RENTON,WA98055     		N/A PC MASKS 500
    WALTER DAVIS58014 FLINT STONE DRIVE
    WESTERVILLE,OH43081     		NONE I GIFT CARD 200
    WASHINGTON NATIONAL GUARDCAMP MURRAY
    TACOMA,WA98433     		N/A PC CHRISTMAS GIFTS FOR 5,000
    WELLSTAR KENNESTONE HOSPITAL677 CHURCH ST
    MARIETTA,GA30060     		N/A PC MASKS 1,200
    WI VETERANS CHAMBER OF COMMERCE5027 W NORTH AVE
    MILWAUKEE,WI53208     		N/A PC MEMBERSHIP 200
    WILLIAM GERALD GORDY319 WILLIAMS AVE
    NATCHITOCHES,LA71457     		NONE I FINANCIAL ASSISTANCE/GIFT CARD 18,200
    Total ...............................bullet 3a 1,015,960
    bApproved for future payment
    ANTHONY ALMEIDAPO BOX 1124
    SKOWHEGAN,ME04976     		NONE I FAMILY GRANT 2,112
    BEN LUNAK9720 ARBOR WALK LANE
    COLORADO SPRINGS,CO80831     		NONE I GIFT CARD 10,000
    BRIGADOON SERVICE DOGS4759 MISSION ROAD
    BELLINGHAM,WA98226     		N/A PC SERVICE DOG 60,000
    CUSTOM CANINES SERVICE DOG ACADEMY INC2310 MUSTANG WAY
    MADISON,WI53718     		N/A PC SERVICE DOGS/SCHOLARSHIP 160,000
    DAVID BICKNELL8711 W RINGBILL
    GARDEN CITY,ID83714     		NONE I FAMILY GRANT 7,959
    GARY WETZEL2508 17TH AVE
    SOUTH MILWAUKEE,WI53172     		NONE I FAMILY GRANT 4,000
    GERALD GAUDET4546 SUNDANCE CT
    COTTAGE GROVE,WI53527     		NONE I FAMILY GRANT 1,045
    JIMMY CHAMBERS1455 LUKE LANE
    LAWRENCEVILLE,GA30043     		NONE I FAMILY GRANT 978
    JUSTYN PRATT1175 CENTER DRIVE STE 130
    DUPONT,WA98327     		NONE I FAMILY GRANT 2,900
    LABS FOR LIBERTY23811 MARSHALL GULCH RD
    HILL CITY,SC57745     		N/A PC SERVICE DOG 20,000
    NEXT STEP SERVICE DOGSPO BOX 3930
    DANA POINT,CA92629     		N/A PC SERVICE DOG 10,000
    NICHOLAS POLITZ731 FRANCIS AVE
    CELINA,TX75009     		NONE I FINANCIAL ASSISTANCE 12,646
    RAINBOW SERVICE DOGS1013 E SIMMONS ST
    TUCSON,AZ85719     		N/A PC SERVICE DOG 50,500
    SERVICE DOGS ALABAMA8365 MOBILE HW
    HOPE HULL,AL36043     		N/A PC SERVICE DOG 40,000
    STEPHEN PAGE5112 TRENTON DR
    MILTON,FL32571     		NONE I FAMILY GRANT 3,325
    WARRIOR CANINE CONNECTION14934 SCHAEFFER ROAD
    BOYDS,MD20841     		N/A PC SERVICE DOG 30,000
    Total ................................bullet 3b 415,465
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2020
    Name of the organization
    AMERICAN WARRIOR INITIATIVE INC
     
    Employer identification number

    47-3566126
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
    Name of organization
    AMERICAN WARRIOR INITIATIVE INC
          		Employer identification number
    47-3566126
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    FAIRWAY INDEPENDENT MORTGAGE CORPORATION
     
    4750 S BILTMORE LANE
     
    MADISON, WI53718

    		$ 1,393,700


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    IGNITE
     
    4750 S BILTMORE LANE
     
    MADISON, WI53718

    		$ 30,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    ASHLEY COOK
     
    9604 TIMBER WAGON DR
     
    MCKINNEY, TX75070

    		$ 5,551


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
    CINDY PORTERFIELD
     
    2533 FM 1519N
     
    LEESBURG, TX75451

    		$ 11,250


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
    GARY NELSON
     
    300 MEADOWLARK DR
     
    RICHARDSON, TX75080

    		$ 10,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    6
    PAOLA KIELBLOCK
     
    5117 MOHEGAN LANE
     
    FRISCO, TX75034

    		$ 15,600


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    AMERICAN WARRIOR INITIATIVE INC
          		Employer identification number
    47-3566126
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    7
    PAUL WALNICK
     
    6006 SPRING FLOWER TRAIL
     
    DALLAS, TX75248

    		$ 10,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    8
    RYAN HUSKEY
     
    23 LOCKE ROAD
     
    RYE, NH03870

    		$ 25,057


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    9
    SCOTT FLETCHER
     
    W211 N16501 WOODSHIRE CT
     
    JACKSON, WI53037

    		$ 31,481


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    10
    SCOTT JACOBS
     
    375 HIGHLAND GATE CIRCLE
     
    SUWANEE, GA30024

    		$ 10,562


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    11
    SHERRI ANDERSON
     
    212 YARROW HILL DR
     
    COTTAGE GROVE, WI53527

    		$ 26,100


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 3
    Name of organization
    AMERICAN WARRIOR INITIATIVE INC
          		Employer identification number

    47-3566126
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 4
    Name of organization
    AMERICAN WARRIOR INITIATIVE INC
          		Employer identification number

    47-3566126
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2020 AccountingFeesSchedule
    Name:
    AMERICAN WARRIOR INITIATIVE INC
    EIN:
    47-3566126
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 26,848 0   26,848

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2020 ExpenditureResponsibilityStmt
    Name:
    AMERICAN WARRIOR INITIATIVE INC
    EIN:
    47-3566126
    Grantee's Name Grantee's Address Grant Date Grant Amount Grant Purpose Amount Expended By Grantee Any Diversion By Grantee? Dates of Reports By Grantee Date of Verification Results of Verification
    COASTLINE CANINE
          		971 9TH ST SW
    NAPLES,FL34117     		2020-04-17 15,000 SERVICE DOG 15,000 NO APRIL 17, 2020 2020-04-17 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR THE SERVICE DOG.
    GOLDEN DOODLE LOVELY
          		PO BOX 50008
    MESA,AZ85208     		2020-11-30 4,146 SERVICE DOG 4,146 NO NOVEMBER 30, 2020 2020-11-30 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR THE SERVICE DOG.
    MAVERICK'S CONSTRUCTION & REPAIR
          		4419 CENTENNIAL BLVD 262
    COLORADO SPRINGS,CO80920     		2020-03-11 600 SPONSOR VETERAN APPRENTICESHIPS 600 NO MARCH 9, 2020 2020-03-11 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE THAT OUTLINED THE SAFETY TRAINING FOR MILITARY VETERANS AND ALSO PROVIDED INFORMATION ON THE THREE VETERANS THAT WERE ATTENDING THE TRAINING.
    THE CROWD CHANGE
          		420 W AVE 33 SUITE 4
    LOS ANGELES,CA90031     		2020-04-17 102,483 MASKS 102,483 NO APRIL 17, 2020 2020-04-17 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    E HEMPFIELD AMBULANCE CORP
          		1700 NISSLEY RD
    LANDISVILLE,PA17538     		2020-04-03 5,000 MASKS 5,000 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    DELAWARE ORTHOPEDICS
          		3401 BRANDYWINE PKWY
    WILIMINGTON,DE19803     		2020-04-03 11,000 MASKS 11,000 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    SALEMTOWNE RETIREMENT COMMUNITY
          		190 MORAVIAN WAY DR
    WINSTONSALEM,NC27106     		2020-04-03 1,000 MASKS 1,000 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    SUNRISE OF BOTHELL - SENIOR LIVING
          		10605 NE 185TH ST
    BOTHELL,WA98011     		2020-04-03 2,300 MASKS 2,300 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    JAVA JOE'S
          		8 E BALTIMORE ST
    BALTIMORE,MD21202     		2020-04-03 1,000 MASKS 1,000 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    HARMONY POINTE NURSING CENTER
          		1655 YARROW ST
    LAKEWOOD,CO80214     		2020-04-03 600 MASKS 600 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    JACK MATHENY GROUP
          		700 ZEAGER DR
    PALATAKA,FL32177     		2020-04-03 400 MASKS 400 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    SOLARIS NURSING HOME
          		110 KAY LARKIN DR
    PALATAKA,FL32177     		2020-04-03 400 MASKS 400 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    BAY TREE CENTER
          		2600 HIGHLANDS BLVD N
    PALM HARBOR,FL34684     		2020-04-03 4,000 MASKS 4,000 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    SARA BAY REAL ESTATE
          		7333 N TAMIAMI TRAIL
    SARASOTA,FL34243     		2020-04-03 100 MASKS 100 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    HARMONY AT HOPE MILLS
          		7501 ROCKFISH ROAD
    HOPE MILLS,NC28306     		2020-04-03 1,000 MASKS 1,000 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    ROCKWALL NURSING CARE CENTER
          		206 STORRS ST
    ROCKWALL,TX75087     		2020-04-03 800 MASKS 800 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    NORTH GA COMMUNITY HOSPICE
          		710 S THORNTON AVE A
    DALTON,GA30720     		2020-04-03 1,200 MASKS 1,200 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    ELITE LEARNING ACADEMY & PRESCHOOL
          		10746 S 204TH ST 3
    GRETNA,NE68028     		2020-04-03 1,000 MASKS 1,000 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    MOUNT VERNON TOWERS
          		300 JOHNSON FERRY ROAD NE
    SANDY SPRINGS,GA30328     		2020-04-03 2,800 MASKS 2,800 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    MANDY'S PRIMARY HEALTHCARE
          		35055 OLD LA HWY 16
    DENHAM SPRINGS,LA70706     		2020-04-03 2,875 MASKS 2,875 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    AZALEA ESTATES OF GONZALES
          		2305 S PUPERA AVE
    GONZALES,LA70737     		2020-04-03 1,765 MASKS 1,765 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    THE INN AT GREENWOOD VILLAGE
          		5565 S YOSEMITE ST
    GREENWOOD VILLAGE,CO80111     		2020-04-03 1,000 MASKS 1,000 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    SMITH FIELD MANOR SENIOR LIVING FACILITY
          		902 BERKSHIRE RD
    SMITHFIELD,NC27577     		2020-04-03 3,300 MASKS 3,300 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    DERIDDER RETIREMENT AND REHABILITATION CENTER
          		1420 BLANKENSHIP DR
    DERIDDER,LA70634     		2020-04-03 38,000 MASKS 38,000 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    ROSEWOOD NURSING CENTER
          		534 15TH ST
    LAKE CHARLES,LA70601     		2020-04-03 38,000 MASKS 38,000 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.
    SABINE RETIREMENT AND REHAB
          		965 FISHER ROAD
    MANY,LA71449     		2020-04-03 39,054 MASKS AND FOOD/MEALS FOR STAFF 39,054 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS. THE FOOD/MEALS WERE PURCHASED AND DIRECTLY DELIVERED TO THE STAFF.
    HOLLY HILL AND REHABILITATION CENTER
          		100 KINGSTON ROAD
    SUPHUR,LA70663     		2020-04-03 38,000 MASKS 38,000 NO APRIL 3, 2020 2020-04-03 THE GRANT WAS MADE AFTER RECEIVING AN INVOICE FOR PURCHASING MASKS.

    TY 2020 OtherExpensesSchedule
    Name:
    AMERICAN WARRIOR INITIATIVE INC
    EIN:
    47-3566126
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK FEES AND SERVICE CHARGES 8,911 0   8,911


    TY 2020 SubstantialContributorsSch
    Name:
    AMERICAN WARRIOR INITIATIVE INC
    EIN:
    47-3566126
    Name Address
    FAIRWAY INDEPENDENT MORTGAGE CORPORATION
          		4750 S BILTMORE LANE
    MADISON,WI53718