Form990
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Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
BCheck if applicable:
CName of organization
GARY SINISE FOUNDATION
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
PO BOX 40726
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NASHVILLE, TN37204
D Employer identification number

80-0587086
E Telephone number

G Gross receipts $ 65,484,473
F Name and address of principal officer:
DONNA PALMER
PO BOX 40726
NASHVILLE,TN37204
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.GARYSINISEFOUNDATION.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2010
M State of legal domicile: DE
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: AT THE GARY SINISE FOUNDATION, WE SERVE OUR NATION BY HONORING OUR DEFENDERS, VETERANS, FIRST RESPONDERS, THEIR FAMILIES, AND THOSE IN NEED. WE DO THIS BY CREATING AND SUPPORTING UNIQUE PROGRAMS DESIGNED TO ENTERTAIN, EDUCATE, INSPIRE, STRENGTHEN, AND BUILD COMMUNITIES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 10
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 8
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 63
6 Total number of volunteers (estimate if necessary) ............. 6 500
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 48,441,737 55,761,582
9 Program service revenue (Part VIII, line 2g) ......... 18,500 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 321,878 2,222,164
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 85,701 86,393
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 48,867,816 58,070,139
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 13,082,874 12,965,254
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 4,382,845 4,806,268
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,010,428    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 21,599,163 18,872,329
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 39,064,882 36,643,851
19 Revenue less expenses. Subtract line 18 from line 12....... 9,802,934 21,426,288
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 61,399,972 79,715,180
21 Total liabilities (Part X, line 26)............. 1,658,995 1,022,420
22 Net assets or fund balances. Subtract line 21 from line 20..... 59,740,977 78,692,760
Part II
Signature Block
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 officer) is based on all information of which preparer has any knowledge.
Sign Here
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Signature of officer Date
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Type or print name and title
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Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: AT THE GARY SINISE FOUNDATION, WE SUPPORT OUR NATION'S HEROES, OUR VETERANS, MILITARY, THOSE SUFFERING FROM THE INVISIBLE WOUNDS OF WAR, FIRST RESPONDERS, THEIR FAMILIES, AND THE FAMILIES OF FALLEN HEROES. WE DO THIS BY OUR UNIQUE PROGRAMS THAT UPLIFT, ENTERTAIN, AND HELP THEM IN THEIR GREATEST TIME OF NEED THROUGH BUILDING COMMUNITIES OF SUPPORT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 11,848,350 including grants of $ 7,994,910 ) (Revenue $   )
RELIEF AND RESILIENCY OUTREACH SUPPORTS OUR NATION'S DEFENDERS, WOUNDED/ILL/INJURED VETERANS, THEIR LOVED ONES AND FAMILIES OF FALLEN HEROES AS THEY COPE WITH TRAUMA AND LOSS. THE FOUNDATION PROVIDED OVER 287 GRANTS TO THESE INDIVIDUALS IN THEIR TIME OF URGENT NEED. THE GARY SINISE FOUNDATION HOSTED 56 PARTICIPANTS FOR THEIR MENTORSHIP PROGRAM SEVEN-DAY RETREAT, INTRODUCING POST 9/11 INJURED HEROES WITH VETERANS FROM THE VIETNAM AND KOREAN WARS. IN 2021 THE FOUNDATION HOSTED 2,850 FAMILIES OF FALLEN HEROES AT THE VIRTUAL ANNUAL SNOWBALL EVENT AND 4,236 ATTENDEES AT SMALLER VIRTUAL AND IN-PERSON EVENTS TO ENGAGE THE FAMILIES ALL YEAR LONG.
4b (Code:   ) (Expenses $ 11,836,111 including grants of $ 1,140,493 ) (Revenue $   )
THROUGH OUR R.I.S.E (RESTORING INDEPENDENCE, SUPPORTING EMPOWERMENT) PROGRAM WE'RE CONSTRUCTING ONE-OF-A-KIND SPECIALLY ADAPTED SMART HOMES FOR OUR NATION'S MOST SEVERELY WOUNDED VETERANS AND FIRST RESPONDERS. THIS INITIATIVE SUPPORTS OUR NATION'S WOUNDED HEROES, MANY WHO SUFFER FROM AMPUTATIONS, TRAUMATIC BRAIN INJURIES (TBI), BURNS, AND POST TRAUMATIC STRESS. THESE 100% MORTGAGE-FREE HOMES EASE THE DAILY CHALLENGES FACED BY THESE HEROES AND THEIR FAMILIES WHO SACRIFICE ALONGSIDE THEM. DURING THE FISCAL YEAR, THE GARY SINISE FOUNDATION COMPLETED 7 SPECIALLY ADAPTED SMART HOMES FOR WOUNDED HEROES. BY THE END OF THE YEAR, THE FOUNDATION HAD COMPLETED 75 HOMES FOR OUR INJURED HEROES AND THEIR FAMILIES SINCE INCEPTION. IN ADDITION, THROUGH THE GSF R.I.S.E. PROGRAM, THE FOUNDATION ASSISTED WITH 7 ADAPTED VEHICLES, 16 MOBILITY DEVICES, AND 19 HOME MODIFICATIONS FOR AMERICA'S INJURED, WOUNDED, ILL/AGING DEFENDERS.
4c (Code:   ) (Expenses $ 3,402,650 including grants of $ 1,629,650 ) (Revenue $   )
COMMUNITY OUTREACH AND EDUCATION PIVOTED IN 2021 TO BRING JOY & RELIEF TO SO MANY ACROSS THE COUNTRY. IN 2021, THE PROGRAM PROVIDED 289 CARE PACKAGES TO WWII VETERANS ACROSS THE COUNTRY. THE PROGRAM ALSO DOCUMENTED 48 ORAL HISTORY STORIES FROM WWII VETERANS AND BY SPONSORING A HISTORIAN FROM THE MUSEUM GSF HAS HELPED WITH THE PROJECT TO DEVELOP AN AI PROFILE FOR INTERVIEWS SO THAT GUESTS CAN ALMOST ASK ANY QUESTION THEY'D LIKE TO ASK AND GET A RESPONSE. 209,485 ACTIVE DUTY, VETERANS AND FIRST RESPONDERS WERE SERVED HEARTY, CLASSIC AMERICAN MEALS AS PART OF OUR SERVING HEROES PROGRAM. THESE MEALS ARE A MESSAGE FROM GRATEFUL AMERICANS WHO APPRECIATE THEIR SERVICE AND ARE A REMINDER THAT THEIR SACRIFICES ARE NOT FORGOTTEN. THE FOUNDATION HAS ENROLLED 31 AMBASSADORS TO REPRESENT ITS MISSION THROUGH SPEAKING ENGAGEMENTS AND LEADERSHIP OPPORTUNITIES. THE ROSTER OF SPEAKERS INCLUDES PHILANTHROPIC CELEBRITIES, SEVERELY INJURED VETERANS, AND CONGRESSIONAL MEDAL OF HONOR RECIPIENTS. THE AMBASSADOR COUNCIL INSPIRES, EDUCATES AND REMINDS COMMUNITIES TO NOT ONLY RECOGNIZE THEIR LOCAL VETERANS, BUT TO REMEMBER THE SACRIFICES MADE BY ALL OF AMERICA'S DEFENDERS.
(Code:   ) (Expenses $ 2,444,031 including grants of $ 2,200,201 ) (Revenue $ 86,393 )
WHETHER THE LT. DAN BAND IS BOOSTING MORALE ON MILITARY BASES AT HOME AND ABROAD OR RAISING AWARENESS AT BENEFIT CONCERTS ACROSS THE COUNTRY, THE BAND ENTERTAINS, EDUCATES, INSPIRES AND BUILDS COMMUNITIES WITH ITS EXPLOSIVE LIVE SHOW EVERYWHERE IT GOES. THE MISSION OF EVERY CONCERT REMAINS THE SAME: HONOR. GRATITUDE. ROCK & ROLL. THE LT.DAN BAND ENDED THE FISCAL YEAR PERFORMING 10 CONCERTS (1 LIVE, 1 RECORDED, 8 VIRTUAL SCREENINGS) FOR ATTENDEES WORLDWIDE.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
FIRST RESPONDERS OUTREACH RECOGNIZED AND SUPPORTS AMERICA 'S FIREFIGHTERS, POLICE AND EMTS NATIONWIDE. THESE MEN AND WOMEN ARE INDISPENSABLE TO MAINTAINING THE SAFETY AND SUPPORT OF OUR LOCAL COMMUNITIES. GRANTS ASSISTED FIRST RESPONDERS WITH URGENT NEEDS FROM PROTECTIVE GEAR TO SAFETY EQUIPMENT. IN 2021, THE PROGRAM ASSISTED 135 DEPARTMENTS WITH OVER 1,603 PIECES OF EQUIPMENT.
4d Other program services (Describe in Schedule O.)
(Expenses $ 2,444,031 including grants of $ 2,200,201 ) (Revenue $ 86,393 )
4e Total program service expensesMediumBullet29,531,142
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment......................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
 
No
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
56
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
63
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
10
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
Yes
 
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
AL , AK , AR , CA , CO , CT , DC , FL , GA , HI , IL , KS , KY , ME , MD , MI , MN , MS , MO , NH , NJ , NY , NC , ND , OH , OK , OR , PA , RI , SC , TN , UT , VA , WA , WV , WI
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletTHE ORGANIZATIONPO BOX 40726   NASHVILLE,TN37204 (615) 575-3500
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MOIRA SINISE......................................................................
DIRECTOR
10.00
.................
 
X           0 0 0
(2) PASTOR VELASCO......................................................................
DIRECTOR
10.00
.................
 
X           0 0 0
(3) BARBARA TITUS......................................................................
DIRECTOR
10.00
.................
 
X           0 0 0
(4) GREGORY D GADSON......................................................................
DIRECTOR
10.00
.................
 
X           0 0 0
(5) ROBERT PENCE......................................................................
DIRECTOR (FROM 03/2021)
10.00
.................
 
X           0 0 0
(6) PATRICIA HOROHO......................................................................
DIRECTOR (FROM 03/2021)
10.00
.................
 
X           0 0 0
(7) JIM SHUBERT......................................................................
DIRECTOR/TREASURER
10.00
.................
 
X   X       0 0 0
(8) VINCENT BROOKS......................................................................
DIRECTOR/VICE CHAIR OF THE BOARD
10.00
.................
 
X   X       0 0 0
(9) GARY SINISE......................................................................
CHAIR,PRESIDENT,DIRECTOR
20.00
.................
 
X   X       0 0 0
(10) JOHN D HEUBUSCH......................................................................
DIRECTOR/SECRETARY
10.00
.................
 
X   X       0 0 0
(11) ELIZABETH FIELDS......................................................................
CHIEF OPS. OFFICER (UNTIL 07/2021)
40.00
.................
 
    X       246,292 0 9,495
(12) MICHAEL R THIRTLE......................................................................
CEO (FROM 07/2021)
40.00
.................
 
    X       215,075 0 11,465
(13) ROBIN RAND......................................................................
CEO (UNTIL 07/2021)
40.00
.................
 
    X       155,729 0 558
(14) GARY STARR......................................................................
TREASURER (UNTIL 08/2021)
40.00
.................
 
    X       89,219 0 15,732
(15) DONNA E PALMER FROM 092021......................................................................
CHIEF PHILANTHROPY OFFICER
40.00
.................
 
    X       83,958 0 0
(16) ROBERT KILDUFF......................................................................
CFO (FROM 12/2021)
40.00
.................
 
    X       19,195 0 0
(17) JAMES RAVELLA......................................................................
VP OF PROGRAMS
40.00
.................
 
      X     166,717 0 15,335
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) CRISTIN K BARTTER........................................................................
CHIEF OF STAFF / VP MARKETING
40.00
.......................  
        X   148,735 0 21,864
(19) GILBERT M BOSWORTH........................................................................
DIR OF CHAIRMAN OPERATIONS
40.00
.......................  
        X   122,899 0 12,553
(20) HANNAH LUPPINO........................................................................
DIRECTOR OF EVENTS
40.00
.......................  
        X   119,950 0 19,371
(21) AKWETA BEREAL........................................................................
DIR OF EXTERNAL RELAT (UNTIL 08/2021
40.00
.......................  
        X   111,491 0 10,408
(22) JEANINE C CAVICCHIA........................................................................
DIR OF DEVELOPMENT (UNTIL 7/2021)
40.00
.......................  
        X   109,142 0 9,754
















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 1,588,402 0 126,535
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet9
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
SINGERLEWAK LLP

10960 WILSHIRE BLVD 11TH FLOOR
LOS ANGELES,CA90024
ACCOUNTING SERVICES 329,564
SEYFARTH SHAW LLP

3807 COLLECTIONS CENTER DRIVE
CHICAGO,IL60693
LEGAL SERVICES 285,506
EARTHBOUND DIGITAL

7111 WEST OVERLOOK COURT
MEQUON,WI53092
IT CONSULTING 198,012
CRAIG PETERSON

3835 R E THOUSAND OAKS BLVD 132
WESTLAKE VILLAGE,CA91362
BACKGROUND CHECK/INVESTIGATION 104,965
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet4
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 90,364
f All other contributions, gifts, grants, and similar amounts not included above1f 55,671,218
g Noncash contributions included in lines 1a - 1f:$ 1g 2,303,394
h Total. Add lines 1a-1f.......MediumBullet 55,761,582
 Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet  
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 819,520     819,520
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   8,760,397 7a
b Less: cost or other basis and sales expenses   7,357,753 7b
c Gain or (loss)   1,402,644 7c
d Net gain or (loss).........MediumBullet 1,402,644     1,402,644
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a 142,974
b Less: cost of goods sold .. 10b 56,581
c Net income or (loss) from sales of inventory..MediumBullet 86,393 86,393    
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See instructions.....MediumBullet 58,070,139 86,393 0 2,222,164
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 10,209,116 10,209,116
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 2,756,138 2,756,138
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 1,028,771 515,293 326,990 186,488
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 3,127,868 1,566,693 994,178 566,997
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 44,034 22,056 13,996 7,982
9 Other employee benefits ....... 285,330 142,917 90,691 51,722
10 Payroll taxes ........... 320,265 160,415 101,795 58,055
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 459,649 89,693 358,841 11,115
c Accounting ........... 434,965   434,965  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 105,994   105,994  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 4,572,047 3,619,242 609,427 343,378
12 Advertising and promotion .... 312,890 31,902 280,488 500
13 Office expenses ....... 772,556 457,383 169,673 145,500
14 Information technology ...... 1,069,718 360,916 540,714 168,088
15 Royalties ..        
16 Occupancy ........... 585,408 311,382 161,409 112,617
17 Travel ............ 667,057 297,051 341,053 28,953
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 50,472 47,400 3,072  
20 Interest ........... 39,013 8,763 21,916 8,334
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 496,788 264,092 137,064 95,632
23 Insurance ... 72,268 36,199 22,969 13,100
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a CONSTRUCTION COSTS 6,821,607 6,821,607    
b FURNISHINGS 1,330,925 1,330,925    
c MERCHANDISE FEES 404,880 51,533 347,710 5,637
d EQUIPMENT RENTAL 217,005 211,089 5,002 914
e All other expenses 459,087 219,337 34,334 205,416
25 Total functional expenses. Add lines 1 through 24e 36,643,851 29,531,142 5,102,281 2,010,428
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 10,615,719 1 27,240,414
2 Savings and temporary cash investments ......... 23,087,637 2 2,036,851
3 Pledges and grants receivable, net ...... 5,986,369 3 4,641,382
4 Accounts receivable, net .............   4  
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 220,904 8 307,453
9 Prepaid expenses and deferred charges ...... 452,940 9 357,064
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,689,163
b Less: accumulated depreciation 10b 2,140,728 1,981,289 10c 1,548,435
11 Investments—publicly traded securities . 19,007,859 11 43,536,326
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 47,255 15 47,255
16 Total assets. Add lines 1 through 15 (must equal line 33)... 61,399,972 16 79,715,180
Liabilities 17 Accounts payable and accrued expenses ..... 1,476,748 17 864,307
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 182,247 25 158,113
26 Total liabilities. Add lines 17 through 25.. 1,658,995 26 1,022,420
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 50,434,895 27 72,796,633
28 Net assets with donor restrictions ........... 9,306,082 28 5,896,127
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 59,740,977 32 78,692,760
33 Total liabilities and net assets/fund balances ........ 61,399,972 33 79,715,180
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
58,070,139
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
36,643,851
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
21,426,288
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
59,740,977
5
Net unrealized gains (losses) on investments ...............
5
321,101
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-2,795,606
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
78,692,760
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
GARY SINISE FOUNDATION
 
Employer identification number

80-0587086
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 28,224,655 37,064,039 41,933,996 48,441,737 55,761,582 211,426,009
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3 28,224,655 37,064,039 41,933,996 48,441,737 55,761,582 211,426,009
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. 6,710,332
6 Public support. Subtract line 5 from line 4. 204,715,677
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
7 Amounts from line 4.. 28,224,655 37,064,039 41,933,996 48,441,737 55,761,582 211,426,009
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 407,111 550,651 567,818 556,455 819,520 2,901,555
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 86,618 9,000   2,335   97,953
11 Total support. Add lines 7 through 10 214,425,517
12
12
1,856,630
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
95.470 %
15
15
91.210 %
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2021
(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2021. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2022. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
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
2021
Name of the organization
GARY SINISE FOUNDATION
 
Employer identification number

80-0587086
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) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
GARY SINISE FOUNDATION
 
Employer identification number
80-0587086
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
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


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

$  


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

$  


(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) (2021)
Schedule B (Form 990) (2021)
Page 3
Name of organization
GARY SINISE FOUNDATION
 
Employer identification number

80-0587086
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) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
GARY SINISE FOUNDATION
 
Employer identification number

80-0587086
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) (2021)
Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
GARY SINISE FOUNDATION
 
Employer identification number

80-0587086
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 14,740,640 13,185,130 11,193,846 11,722,978 10,167,865
b Contributions ...       2,326 500,000
c Net investment earnings, gains, and losses 2,043,566 1,609,579 2,045,993 -484,731 1,096,629
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses .... 61,497 54,069 54,709 46,727 41,516
g End of year balance ...... 16,722,709 14,740,640 13,185,130 11,193,846 11,722,978
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet100.000 %
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   94,640 94,640
b Buildings ....   2,092,411 1,216,404 876,007
c Leasehold improvements        
d Equipment ....   638,771 409,183 229,588
e Other .....   863,341 515,141 348,200
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,548,435
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 158,113
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 59,286,185
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a 321,101
b Donated services and use of facilities ......... 2b 944,358
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 56,581
e Add lines 2a through 2d ..................... 2e 1,322,040
3 Subtract line 2e from line 1.................. 3 57,964,145
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 105,994
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 105,994
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 58,070,139
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 37,538,796
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a 944,358
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 56,581
e Add lines 2a through 2d.................... 2e 1,000,939
3 Subtract line 2e from line 1................... 3 36,537,857
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 105,994
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c 105,994
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 36,643,851
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART V, LINE 4: IN FEBRUARY 2016, THE FOUNDATION'S BOARD OF DIRECTORS ESTABLISHED A BOARD-DESIGNATED ENDOWMENT FUND IN THE AMOUNT OF $10,000,000 IN ORDER TO PROVIDE THE FOUNDATION WITH A STEADY SOURCE OF OPERATING INCOME. EARNINGS FROM THE FUND ARE INTENDED TO BE USED TO FINANCIALLY SUPPORT THE FOUNDATION'S VARIOUS CHARITABLE PROGRAMS AND GENERAL OPERATIONS.
PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CHARITABLE NONSTOCK CORPORATION ORGANIZED UNDER THE LAWS OF DELAWARE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CORRESPONDING STATE PROVISIONS. LT. DAN BAND LLC IS A SINGLE MEMBER LIMITED LIABILITY COMPANY THAT IS A DISREGARDED ENTITY UNDER THE INTERNAL REVENUE CODE. HOWEVER, LT. DAN BAND LLC IS SUBJECT TO A CALIFORNIA STATE LLC FEE AS WELL AS OTHER STATE AND TAX JURISDICTIONS. FOR CALIFORNIA INCOME TAX PURPOSES, A LIMITED LIABILITY COMPANY IS REQUIRED TO PAY A FEE BASED ON ITS GROSS RECEIPTS AS DEFINED, PLUS $800 MINIMUM TAX ANNUALLY. THE ORGANIZATION'S FEDERAL INCOME TAX AND INFORMATIONAL RETURNS FOR TAX YEARS ENDING DECEMBER 31, 2018 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE RETURNS FOR CALIFORNIA, THE ORGANIZATION'S MOST SIGNIFICANT JURISDICTION, REMAIN SUBJECT TO EXAMINATION BY THE CALIFORNIA FRANCHISE TAX BOARD FOR TAX YEARS ENDING DECEMBER 31, 2017 AND SUBSEQUENT.
PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 56,581.
PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 56,581.
Schedule D (Form 990) 2021


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
GARY SINISE FOUNDATION
 
Employer identification number
80-0587086
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) THE AVALON FUND
33735 SNICKERSVILLE TURNPIKE PO BOX
117
BLUEMONT,VA20135
27-3228310 501(C)(3) 4,000,000 0     MENTAL WELLNESS INITIATIVE SUPPORT
(2) FRIENDS OF FIREFIGHTERS
199 VAN BRUNT ST
BROOKLYN,NY11231
01-0611469 501(C)(3) 300,000 0     MENTAL HEALTH COUNSELING AND WELLNESS SERVICES
(3) FIRE DEPARTMENT NY
1933 RYDER ST
BROOKLYN,NY11234
11-3154956 501(C)(3) 250,000 0     FIRST RESPONDER EQUIPMENT
(4) NO GREATER SACRIFICE
1101 PENNSYLVANIA AVENUE NW STE 300
WASHINGTON,DC20004
26-1572599 501(C)(3) 250,000 0     COLLEGE SCHOLARSHIPS
(5) BEST DEFENSE FOUNDATION
249 HWY 101SUITE 312
SOLANA BEACH,CA92075
02-5125497 501(C)(3) 100,000 0     ORGANIZATION SUPPORT GRANT
(6) EBBETS FIELD WALL REMEMBRANCE FOUNDATION
C/O MOGLEN 2 CLARIDGE DR APT 5AW
VERONA,NJ07044
02-0589133 501(C)(3) 100,000 0     ORGANIZATION SUPPORT GRANT
(7) PENTAGON MEMORIAL FUND
1 N ROTARY RD
ARLINGTON,VA22202
43-2018221 501(C)(3) 100,000 0     ORGANIZATION SUPPORT GRANT
(8) WREATHS ACROSS AMERICA
PO BOX 249
COLUMBIA FALLS,ME04623
20-8362270 501(C)(3) 100,000 0     WREATHS FOR VETERAN CEMETERY
(9) PARRISH FIRE DEPARTMENT
12132 US HWY 301 N
PARRISH,FL34219
32-0320286 501(C)(3) 97,760 0     FIRST RESPONDER EQUIPMENT
(10) PERSEVERANCE PRODUCTIONS
8055 WEST MANCHESTER AVESTE 555
PLAYA DEL REY,CA90293
83-1829458 N/A 90,000 0     SUPPORT FOR PRODUCTION OF EDUCATIONAL DOCUMENTARY FILM
(11) VISION WARRIORS CORPORATION
305 SAINT ANDREWS CT
BALLWIN,MO63011
81-4839272 501(C)(3) 85,000 0     BUILD HOMES FOR VETERANS
(12) KNIGHTS OF HEROES FOUNDATION
13395 VOYAGER PKWYSTE 130
COLORADO SPRINGS,CO80921
26-0786719 501(C)(3) 75,000 0     ORGANIZATION SUPPORT GRANT
(13) RIO AMBULANCE SERVICE
301 W RIO ST
RIO,WI53960
39-1706588 N/A 64,939 0     FIRST RESPONDER EQUIPMENT
(14) BOULDER CREST RETREAT
33735 SNICKERSVILLE TURNPIKE
BLUEMONT,VA20135
27-3228310 501(C)(3) 52,500 0     WARRIOR PATHH PROGRAM FOR PTSD
(15) ARCADIA FD (ARCADIA KS)
706 S STATE LINE RD
ARCADIA,KS66711
84-4190626 501(C)(3) 49,541 0     FIRST RESPONDER EQUIPMENT
(16) SANTUC VOLUNTEER FIRE DEPARTMENT
84 TINKER CREEK ROAD CARLISLE HWY
UNION,SC29379
57-0721119 501(C)(3) 49,493 0     FIRST RESPONDER EQUIPMENT
(17) LANESBORO VOLUNTEER FIRE DEPARTMENT AND AID ASSOCIATION
11897 CO RD 87 SE
ALEXANDRIA,MN56308
41-1586769 501(C)(3) 48,987 0     FIRST RESPONDER EQUIPMENT
(18) BACHELORS HALL VOLUNTEER FIRE & RESCUE
1301 BERRY HILL RD
DANVILLE,VA24541
80-0026671 501(C)(3) 48,767 0     FIRST RESPONDER EQUIPMENT
(19) IRONDALE CITIZENS FIRE GROUP
203 SOUTH OAK ST
IRONDALE,MO63648
43-1806873 501(C)(3) 46,631 0     FIRST RESPONDER EQUIPMENT
(20) SOUTH ORANGE RESCUE SQUAD
PO BOX 128
CARRBORO,NC27510
20-1083061 501(C)(3) 46,387 0     FIRST RESPONDER EQUIPMENT
(21) SCIPIO TWP VOLUNTEER FIRE DEPARTMENT
1105 WEST 250 SOUTH
LAPORTE,IN46350
35-1874793 501(C)(3) 45,720 0     FIRST RESPONDER EQUIPMENT
(22) USO SAN DIEGO
303 A STREET SUITE 100
SAN DIEGO,CA92101
13-1610451 501(C)(3) 42,116 0     MEALS FOR SERVING HEROES
(23) DEVINE VOLUNTEER FIRE DEPARTMENT
202 E HERRING AVE
DEVINE,TX78016
74-2504790 501(C)(3) 41,226 0     FIRST RESPONDER EQUIPMENT
(24) DUMONT VOLUNTEER AMBULANCE
108 BROOK ST
DUMONT,NJ07628
42-6004604 501(C)(3) 38,816 0     FIRST RESPONDER EQUIPMENT
(25) STONY CREEK FIRE & RESCUE
651 COUNTRY CLUB RD
ROCKY MOUNT,NC27804
56-0947311 501(C)(3) 38,236 0     FIRST RESPONDER EQUIPMENT
(26) HOWARD COUNTY SHERIFF DEPARTMENT
100 N MULBERRY ST
FAYETTE,MO65248
43-6001719 501(C)(3) 36,014 0     FIRST RESPONDER EQUIPMENT
(27) SMITHLAND FIRE AND RESCUE
119 WILSON AVE
SMITHLAND,KY42081
61-6001913 501(C)(3) 36,000 0     FIRST RESPONDER EQUIPMENT
(28) USO LAS VEGAS
2111 WILSON BLVDSTE 1200
ARLINGTON,VA22201
13-1610451 501(C)(3) 35,400 0     MEALS FOR SERVING HEROES
(29) MIMS VFD (MIMS FL)
2476 TAYLOR ST
MIMS,FL32754
59-3132453 501(C)(3) 35,011 0     FIRST RESPONDER EQUIPMENT
(30) LOS ANGELES FIRE DEPARTMENT FOUNDATION
1700 STADIUM WAY STE 100
LOS ANGELES,CA90012
27-2007326 501(C)(3) 35,000 0     FIRST RESPONDER EQUIPMENT
(31) SABATTUS FIRE DEPARTMENT
72 MAIN ST
SABATTUS,ME04280
01-6000425 501(C)(3) 35,000 0     FIRST RESPONDER EQUIPMENT
(32) ARROWHEAD RANCH ESTATE VOLUNTEER FIRE DEPARTMENT
6701 FM 1954
WICHITA FALLS,TX76310
75-1716128 501(C)(3) 34,759 0     FIRST RESPONDER EQUIPMENT
(33) FORT DRUM FAMILY AND MWR
10783 CHAPEL DR
FORT DRUM,NY13602
45-0526154 501(C)(3) 34,495 0     MEALS FOR SERVING HEROES
(34) BLUE ISLAND FIRE DEPARTMENT
2450 VERMONT ST
BLUE ISLAND,IL60406
36-6005798 501(C)(3) 34,495 0     FIRST RESPONDER EQUIPMENT
(35) PORT HUENEME - NAVY LIFE SHOW
DODSON ST BLDG 1167
PORT HUEMEME,CA93041
95-1734665 501(C)(3) 34,300 0     MORALE, WELLNESS AND RECREATION PROGRAM SUPPORT
(36) FEDS CREEK FIRE DEPARTMENT
100 ROWE CAMP RD
FEDSCREEK,KY41524
26-3648300 501(C)(3) 34,059 0     FIRST RESPONDER EQUIPMENT
(37) CROSS PLAINS EMS
PO BOX 722
CROSS PLAINS,TX76443
75-6000504 N/A 33,441 0     FIRST RESPONDER EQUIPMENT
(38) FOUR COMMUNITIES FIRE DEPARTMENT
4870 N HIGHWAY 1
COCOA,FL32927
59-1802506 501(C)(3) 32,973 0     FIRST RESPONDER EQUIPMENT
(39) KREMLIN VOLUNTEER FIRE DEPARTMENT
711 NINNEKAH
ENID,OK73701
73-1152839 501(C)(3) 32,750 0     FIRST RESPONDER EQUIPMENT
(40) MCCLOUD VOLUNTEER FIRE DEPARTMENT
PO BOX 401
MCCLOUD,CA96057
94-1614312 501(C)(3) 32,129 0     FIRST RESPONDER EQUIPMENT
(41) LONE STAR FLIGHT MUSEUM
11551 AEROSPACE AVENUE
HOUSTON,TX77034
76-0213778 501(C)(3) 30,000 0     ORGANIZATION SUPPORT GRANT
(42) BRIDGEPORT FIRE EXPO FIRE TRAINING
290 AIRPORT RD STE 2
WINCHESTER,VA22602
35-2277219 501(C)(3) 29,700 0     FIRST RESPONDER TRAINING
(43) INSTITUTE VFD (INSTITUTE WV)
PO BOX 192
INSTITUTE,WV25112
55-0118860 501(C)(3) 29,303 0     FIRST RESPONDER EQUIPMENT
(44) VINCENT FIRE CO NO 1
16 RACE ST
VINCENTOWN,NJ08088
22-2612851 501(C)(3) 29,264 0     FIRST RESPONDER EQUIPMENT
(45) PEND OREILLE COUNTY FIRE DEPARTMENT
406722 SR 20
CUSICK,WA99119
91-1526522 501(C)(3) 27,742 0     FIRST RESPONDER EQUIPMENT
(46) MILFORD VOLUNTEER FIRE DEPARTMENT
PO BOX 265
MILFORD,CA96121
68-0455183 501(C)(3) 27,423 0     FIRST RESPONDER EQUIPMENT
(47) SILVER LAKE VOLUNTEER FIRE DEPARTMENT
5215 HORNES CHURCH RD
WILSON,NC27896
56-1361294 501(C)(3) 26,616 0     FIRST RESPONDER EQUIPMENT
(48) WADDINGTON FIRE DEPARTMENT
51 MAPLE ST
WADDINGTON,NY13694
16-1346721 501(C)(3) 26,091 0     FIRST RESPONDER EQUIPMENT
(49) CITY HARMONY VFD (HARMONY MN)
60 1ST ST NW
HARMONY,MN55939
41-6005218 N/A 25,974 0     FIRST RESPONDER EQUIPMENT
(50) EAST PRIEST LAKE FIRE DEPARTMENT
48 E LAKE TROUT LANE
COOLIN,ID83821
85-2376418 501(C)(3) 25,008 0     FIRST RESPONDER EQUIPMENT
(51) BADGES UNITED FOUNDATION
10700 HAYES AVENUE
SILVERSPRING,MD20902
83-1560732 501(C)(3) 25,000 0     ORGANIZATION SUPPORT GRANT
(52) FIRST RESPONDERS FOUNDATION
10605 BURT CIRCLE
OMAHA,NE68114
26-3499345 501(C)(3) 25,000 0     ORGANIZATION SUPPORT GRANT
(53) THE DETECTIVE RAFAEL RAMOS FOUNDATION
PO BOX 863112
RIDGEWOOD,NY11386
47-5466069 501(C)(3) 25,000 0     SUPPORT THE PROGRAM
(54) STEWART COUNTY FIRE DEPARTMENT
PO BOX 420
DOVER,TN37058
62-1738085 501(C)(3) 24,978 0     FIRST RESPONDER EQUIPMENT
(55) TOMBSTONE VOLUNTEER FIRE DEPARTMENT
PO BOX 752
TOMBSTONE,AZ85638
81-1055051 501(C)(3) 24,331 0     FIRST RESPONDER EQUIPMENT
(56) PINK HILL VOLUNTEER FIRE DEPARTMENT
300 S FRONT ST
PINK HILL,NC28572
56-1017935 501(C)(3) 23,574 0     FIRST RESPONDER EQUIPMENT
(57) ALFALFA FIRE DISTRICT
25889 ALFALFA MARKET RD
BEND,OR97701
80-0907613 501(C)(3) 23,500 0     FIRST RESPONDER EQUIPMENT
(58) FOREST VOLUNTEER FIRE DEPARTMENT
1159 COUNTY ROAD 30
ETHELSVILLE,AL35461
63-0879326 501(C)(3) 23,230 0     FIRST RESPONDER EQUIPMENT
(59) BRYANT VOLUNTEER FIRE DEPARTMENT
105 S WILLIAMS ST
BRYANT,SD57221
46-6000073 501(C)(3) 22,115 0     FIRST RESPONDER EQUIPMENT
(60) LA PORTE FIRE DEPARTMENT
125 SOUTH 3RD STREET
LA PORTE,TX77571
20-3951660 501(C)(3) 21,984 0     FIRST RESPONDER EQUIPMENT
(61) ERIN FIRE DEPARTMENT
PO BOX 270
ERIN,TN37061
62-0712715 501(C)(3) 21,857 0     FIRST RESPONDER EQUIPMENT
(62) VILLAGE OF CALUMET VFD (CALUMET MI)
340 6TH ST
CALUMET,MI49913
38-6007159 N/A 21,840 0     FIRST RESPONDER EQUIPMENT
(63) SYCAMORE REACT VOLUNTEER FIRE DEPARTMENT
10381 ELKHORN CREEK
ASHCAMP,KY41512
61-1208028 501(C)(3) 21,377 0     FIRST RESPONDER EQUIPMENT
(64) FRO CAJUN NAVY
PO BOX 977
WATSON,LA70786
82-2660713 501(C)(3) 21,244 0     FIRST RESPONDER EQUIPMENT
(65) LOS ANGELES POLICE FOUNDATION
633 WEST 5TH ST STE 960
LOS ANGELES,CA90071
95-4700442 501(C)(3) 20,000 0     FIRST RESPONDER EQUIPMENT
(66) WARRIORS HEART
756 PURPLE SAGE RD
BANDERA,TX78003
47-4655361 501(C)(3) 19,970 0     INPATIENT TREATMENT
(67) MONTGOMERY VOLUNTEER FIRE DEPARTMENT
125 W MCCALLUM ST
MONTGOMERY,MI49255
38-1957431 501(C)(3) 19,928 0     FIRST RESPONDER EQUIPMENT
(68) TROY FIRE DEPARTMENT
118 WEST HARPER ST
TROY,TN38260
62-0807043 501(C)(3) 19,857 0     FIRST RESPONDER EQUIPMENT
(69) USO
2111 WILSON BLVD STE 1200
ARLINGTON,VA22201
13-1610451 501(C)(3) 19,802 0     MEALS FOR SERVING HEROES
(70) PARKER CITY POLICE DEPARTMENT
315 W JACKSON ST
PARKER CITY,IN47368
35-6001158 501(C)(3) 19,384 0     FIRST RESPONDER EQUIPMENT
(71) CLEAR SPRINGS FD (HICKORY KY)
3412 STATE ROUTE 301
HICKORY,KY42051
61-1122933 501(C)(3) 18,820 0     FIRST RESPONDER EQUIPMENT
(72) TN RIDGE FIRE DEPARTMENT
1435 NORTH MAIN ST
TENNESSEE RIDGE,TN37178
62-0808362 501(C)(3) 18,755 0     FIRST RESPONDER EQUIPMENT
(73) EASTANOLLEE FIRE DEPARTMENT
PO BOX 112
EASTANOLLEE,GA30538
87-1230827 501(C)(3) 18,672 0     FIRST RESPONDER EQUIPMENT
(74) GENEVA PD
411 E LINE ST
GENEVA,IN46740
35-6001043 501(C)(3) 17,531 0     FIRST RESPONDER EQUIPMENT
(75) HERINGTON FIRE DEPARTMENT
700 S BROADWAY ST
HERINGTON,KS67449
48-6018847 501(C)(3) 17,224 0     FIRST RESPONDER EQUIPMENT
(76) USO FORT BLISS
2111 WILSON BLVDSTE 1200
ARLINGTON,VA22201
13-1610451 501(C)(3) 16,250 0     MEALS FOR SERVING HEROES
(77) US ARMY FORT BRAGG
2658 REILLY ROAD
FORT BRAGG,NC28310
56-1602987 501(C)(3) 16,049 0     MEALS FOR SERVING HEROES
(78) LONE STAR CONFERENCE CENTER
PO BOX X
FORT HOOD,TX76544
74-2841106 501(C)(3) 16,000 0     MEALS FOR SERVING HEROES
(79) LINCOLN CO SHERIFF
104 N SECOND ST
STANFORD,KY40484
61-6000968 501(C)(3) 15,728 0     FIRST RESPONDER EQUIPMENT
(80) MATHISON FIRE DEPARTMENT
5881 LAGRANGE RD
MATHISTON,MS39752
64-0535025 501(C)(3) 15,610 0     FIRST RESPONDER EQUIPMENT
(81) MIDDLETOWN VFC MD
401 FRANKLIN ST
MIDDLETOWN,MD21769
52-6072749 501(C)(3) 15,354 0     FIRST RESPONDER EQUIPMENT
(82) READY CHEF GO - SERVING HEROES CHINO
980 MANGROVE AVENUE
CHICO,CA95926
N/A 15,336 0     MEALS FOR SERVING HEROES
(83) AMERICAN VETERANS CENTER
1100 NORTH GLEBE RD STE 910
ARLINGTON,VA22201
51-0232804 501(C)(3) 15,000 0     MEMORIAL DAY PARADE SPONSORSHIP
(84) GREATER TUCSON FIRE FOUNDATION
6374 E CALLE DE MIRAR
TUCSON,AZ95750
27-3155431 501(C)(3) 15,000 0     FIRST RESPONDER EQUIPMENT
(85) NEWTOWN UNDERWATER SEARCH & RESCUE
PO BOX 3203
NEWTOWN,CT06470
06-1497126 501(C)(3) 14,986 0     FIRST RESPONDER EQUIPMENT
(86) ORESTES POLICE DEPARTMENT
2 S SUPERIOR ST
ORESTES,IN46063
35-1313391 501(C)(3) 14,941 0     FIRST RESPONDER EQUIPMENT
(87) USO BAY AREA
2111 WILSON BLVDSTE 1200
ARLINGTON,VA22201
13-1610451 501(C)(3) 14,500 0     MEALS FOR SERVING HEROES
(88) NEVA FIRE DEPARTMENT
3530 ROAN CREEK ROAD
MOUNTAIN CITY,TN37683
62-1268966 501(C)(3) 13,672 0     FIRST RESPONDER EQUIPMENT
(89) FORT ELLIS FIRE SERVICES
3725 BOZEMAN TRAIL RD
BOZEMAN,MT59715
23-7089716 501(C)(3) 12,758 0     FIRST RESPONDER EQUIPMENT
(90) WEST FARGO RURAL FIRE DEPARTMENT
106 1ST ST
WEST FARGO,ND58078
45-0362380 501(C)(3) 12,600 0     FIRST RESPONDER EQUIPMENT
(91) NUTTER FORT VOLUNTEER FIRE DEPARTMENT
1415 BUCKHANNON PIKE
NUTTER FORT,WV26301
91-1910069 501(C)(3) 11,870 0     FIRST RESPONDER EQUIPMENT
(92) CLOVERDALE FIRE DEPARTMENT
101 COUNTY ROAD 263
FLORENCE,AL35633
23-7325619 501(C)(3) 11,602 0     FIRST RESPONDER EQUIPMENT
(93) FORT DRUM MWR PROJECT
11042 MT BELVEDERE BLVD BLD P-1780
FORT DRUM,NY13602
N/A 11,100 0     MORALE, WELLNESS AND RECREATION PROGRAM SUPPORT
(94) LA COUNTY FIRE DEPARTMENT FOUNDATION
1320 N EASTERN AVE
LOS ANGELES,CA90063
27-2007326 501(C)(3) 10,726 0     FIRST RESPONDER EQUIPMENT
(95) WALTHALL FIRE DEPARTMENT
470 CARROLL ST
WALTHALL,MS39771
64-0787354 501(C)(3) 10,476 0     FIRST RESPONDER EQUIPMENT
(96) PARK RIVER VOLUNTEER FIRE DEPARTMENT
PO BOX 297
PARK RIVER,ND58270
20-1629131 501(C)(3) 10,271 0     FIRST RESPONDER EQUIPMENT
(97) CAMP4HEROES
PO BOX 400
FAIRMONT,NC28340
81-1555077 501(C)(3) 10,000 0     ORGANIZATION SUPPORT GRANT
(98) F7 GROUP FOUNDATION-AUSTIN AMERICAN LEGION
1624 E ANDERSON LN
AUSTIN,TX78752
27-3097877 501(C)(3) 10,000 0     MEALS FOR SERVING HEROES
(99) F7 GROUP FOUNDATION-AUSTIN AMERICAN LEGION
1624 E ANDERSON LN
AUSTIN,TX78752
27-3097877 501(C)(3) 10,000 0     MEALS FOR SERVING HEROES
(100) HOPE FOR THE WARRIORS
8003 FORBES PLACESTE 201
SPRINGFIELD,VA22151
20-5182295 501(C)(3) 10,000 0     ORGANIZATION SUPPORT GRANT
(101) NATIONAL INFANTRY MUSEUM FOUNDATION
1775 LEGACY WAY
COLUMBUS,GA31903
58-2422819 501(C)(3) 10,000 0     ORGANIZATION SUPPORT GRANT
(102) NORFOLK POLICE DEPARTMENT
2500 N MILITARY HIGHWAY
NORFOLK,VA23502
54-1386901 501(C)(3) 10,000 0     FIRST RESPONDER EQUIPMENT
(103) ROBERT IRVINE FOUNDATION INC
1227 NORTH FRANKLIN ST
TAMPA,FL33602
46-5420676 501(C)(3) 10,000 0     ORGANIZATION SUPPORT GRANT
(104) LEONIA FIRE DEPARTMENT
1 BOROUGH PLACE
LEONIA,NJ07605
22-6002027 501(C)(3) 9,538 0     FIRST RESPONDER EQUIPMENT
(105) WEST GARDINER FD (GARDINER ME)
318 SPEARS CORNER ROAD
WEST GARDINER,ME04345
01-6000431 501(C)(3) 9,345 0     FIRST RESPONDER EQUIPMENT
(106) BOYS RANCH FIRE DEPARTMENT
PO BOX 112
BOYS RANCH,TX79010
75-0808768 501(C)(3) 9,056 0     FIRST RESPONDER EQUIPMENT
(107) SALCHA RESCUE
7153 RICHARDSON HIGHWAY
SALCHA,AK99714
92-0092536 501(C)(3) 8,654 0     FIRST RESPONDER EQUIPMENT
(108) UPPER GWYNEDD FIRE DEPARTMENT
660 GARFIELD AVENUE
WEST POINT,PA19486
23-2648040 501(C)(3) 8,640 0     FIRST RESPONDER EQUIPMENT
(109) F7 GROUP FOUNDATION-AUSTIN AMERICAN LEGION
1624 E ANDERSON LN
AUSTIN,TX78752
27-3097877 501(C)(3) 8,525 0     MEALS FOR SERVING HEROES
(110) EARL TWP FIRE DEPARTMENT
1340 IRONSTONE DR
BOYERTOWN,PA19512
23-6422844 501(C)(3) 8,492 0     FIRST RESPONDER EQUIPMENT
(111) REMINGTON VOLUNTEER FIRE DEPARTMENT
1638 STATE HWY 80
BABCOCK,WI54413
39-1139177 501(C)(3) 8,353 0     FIRST RESPONDER EQUIPMENT
(112) MARMADUKE FIRE RESCUE
307 W MILL ST
MARMADUKE,AR72443
71-0412172 501(C)(3) 8,318 0     FIRST RESPONDER EQUIPMENT
(113) FORT MEADE MWR
4550 PARADE FIELD LANE
FORT MEADE,MD20755
52-1093605 501(C)(3) 8,209 0     MORALE, WELLNESS AND RECREATION PROGRAM SUPPORT
(114) UNICOI VOLUNTEER FIRE DEPARTMENT
3907 UNICOI DRIVE
UNICOI,TN37692
62-1380669 501(C)(3) 7,825 0     FIRST RESPONDER EQUIPMENT
(115) MILLS FIRE DEPARTMENT
300 LAKEVIEW DRIVE
MILLS,WY82604
83-6000080 501(C)(3) 7,809 0     FIRST RESPONDER EQUIPMENT
(116) WEBER CITY VOLUNTEER FIRE DEPARTMENT
149 ROLAND ST
WEBER CITY,VA24290
54-1150721 501(C)(3) 7,776 0     FIRST RESPONDER EQUIPMENT
(117) GOURMET ISLAND BISTRO-CAMP PENDLETON WOUNDED WARRIOR BATTALION
20250 VANDEGRIFT BLVD
OCEANSIDE,CA92058
N/A 7,577 0     MEALS FOR SERVING HEROES
(118) MWR - SHAW AIR FORCE BASE CAROLINA SKIES CLUB
487 MYERS ST
SHAW AFB,SC29152
501(C)(3) 7,387 0     MORALE, WELLNESS AND RECREATION PROGRAM SUPPORT
(119) KN FIRE DEPARTMENT
201 N STATE ST
KNOB NOSTER,MO65336
11-1605430 501(C)(3) 7,337 0     FIRST RESPONDER EQUIPMENT
(120) ENDEAVOR MOUNDVILLE FIRE DEPARTMENT
PO BOX 47
ENDEAVOR,WI53930
39-1896987 501(C)(3) 7,166 0     FIRST RESPONDER EQUIPMENT
(121) US ARMY FORT BUCHANAN PUERTO RICO
390 DOUBLE EAGLE AVE STE 100
FORT BUCHANAN,PR00934
75-1232789 501(C)(3) 7,000 0     MEALS FOR TROOPS
(122) ALMIRA TWP FIRE & RESCUE
7272 OLE WHITE DR
LAKE ANN,MI49650
38-1941173 501(C)(3) 6,995 0     FIRST RESPONDER EQUIPMENT
(123) SCHOHARIE FIRE DEPARTMENT
114 FORT ROAD
SCHOHARIE,NY12157
90-0168538 501(C)(3) 6,675 0     FIRST RESPONDER EQUIPMENT
(124) LANESVILLE PD
7346 MAIN STREET NE
LANESVILLE,IN47136
35-1283200 501(C)(3) 6,510 0     FIRST RESPONDER EQUIPMENT
(125) DELTA SPORTS - MWR PROJECT
21700 OXNARD ST STE 570
WOODLAND HILLS,CA91367
N/A 6,461 0     MORALE, WELLNESS AND RECREATION PROGRAM SUPPORT
(126) TEXAS ROADHOUSE-SERVING HEROES TUSCALOOSA
1363 MCFARLAND BOULEVARD EAST
TUSCALOOSA,AL35404
31-1500134 N/A 6,440 0     MEALS FOR SERVING HEROES
(127) USO ARIZONA
2111 WILSON BLVDSTE 1200
ARLINGTON,VA22201
13-1610451 501(C)(3) 6,400 0     MEALS FOR SERVING HEROES
(128) SHORE GRILLE-LOS ANGELES VETERANS AFFAIRS
11301 WILSHIRE BLVD
LOS ANGELES,CA90073
N/A 6,000 0     MEALS FOR SERVING HEROES
(129) ATHELSTANE FIRE DEPARTMENT
W10073 COUNTY C
ATHELSTANE,WI54104
39-1030500 501(C)(3) 5,623 0     FIRST RESPONDER EQUIPMENT
(130) BEEVILLE FIRE DEPARTMENT
PO BOX 67
BEEVILLE,TX78104
74-6000334 501(C)(3) 5,500 0     FIRST RESPONDER EQUIPMENT
(131) USO EUROPE
2111 WILSON BLVD STE 1200
ARLINGTON,VA22201
13-1610451 501(C)(3) 5,411 0     MEALS FOR SERVING HEROES
(132) NAF JBPHH PEARL HARBOR HAWAII
620 MAIN ST BLDG 3456
HONOLULU,HI96818
99-0074306 N/A 5,397 0     MORALE, WELLNESS AND RECREATION PROGRAM SUPPORT
(133) MONROVIA PD
140 E MAIN ST
MONROVIA,IN46157
35-1984789 501(C)(3) 5,332 0     FIRST RESPONDER EQUIPMENT
(134) USO PACIFIC REGION
2111 WILSON BLVD STE 1200
ARLINGTON,VA22201
13-1610451 501(C)(3) 5,305 0     FIRST RESPONDER EQUIPMENT
(135) USO OF CENTRAL & SOUTHERN OHIO
2111 WILSON BLVD STE 1200
ARLINGTON,VA22201
13-1610451 501(C)(3) 5,281 0     MEALS FOR SERVING HEROES
(136) USO ALASKA
2111 WILSON BLVD STE 1200
ARLINGTON,VA22201
13-1610451 501(C)(3) 5,180 0     MEALS FOR SERVING HEROES
(137) GORDON'S CONFERENCE & CATERING
19TH STREET BILDG 18400
FORT GORDON,GA30905
82-1604370 N/A 5,138 0     MEALS FOR SERVING HEROES
(138) FAMOUS DAVES-SALUTE THE TROOPS EVENT SERVING HEROES
12701 WHITEWATER DR STE 200
MINNETONKA,MN55343
N/A 5,081 0     MEALS FOR SERVING HEROES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
125
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
14
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) FINANCIAL ASSISTANCE TO VETERANS AND THEIR FAMILIES THROUGH OUR RELIEF AND RESILIENCY PROGRAM 272 1,693,210 0    
(2) PURCHASED 7 ADAPTIVE VEHICLES 7 320,151      
(3) PURCHASED 35 MOBILITY ASSISTANCE DEVICES 35 447,613      
(4) HOME MODIFICATIONS FOR 19 VETERANS 19 295,164      
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: GRANTS ARE PROVIDED TO THOSE WHO SUBMIT FORMAL REQUESTS OR ARE REFERRED TO THE FOUNDATION FROM TRUSTED PARTNER ORGANIZATIONS. ONCE APPLICATIONS ARE REVIEWED, THE FOUNDATION HAS PROCEDURES IN PLACE TO RETRIEVE PROPER BACKGROUND/BACKUP INFORMATION NEEDED TO SUPPORT THE GRANT RECIPIENT BASED ON THEIR SPECIFIC NEEDS. WRITTEN MOU'S ARE ENTERED INTO THE FOUNDATION AND THE GRANT RECIPIENT WHEN DEEMED APPROPRIATE UNDER THE CIRCUMSTANCES.
Schedule I (Form 990) 2021



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
GARY SINISE FOUNDATION
 
Employer identification number

80-0587086
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1ELIZABETH FIELDS
CHIEF OPS. OFFICER (UNTIL 07/2021)
(i)

(ii)
246,292
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
9,495
-------------
0
255,787
-------------
0
0
-------------
0
2MICHAEL R THIRTLE
CEO (FROM 07/2021)
(i)

(ii)
215,075
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
11,465
-------------
0
226,540
-------------
0
0
-------------
0
3ROBIN RAND
CEO (UNTIL 07/2021)
(i)

(ii)
155,729
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
558
-------------
0
156,287
-------------
0
0
-------------
0
4JAMES RAVELLA
VP OF PROGRAMS
(i)

(ii)
166,717
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
15,335
-------------
0
182,052
-------------
0
0
-------------
0
5CRISTIN K BARTTER
CHIEF OF STAFF / VP MARKETING
(i)

(ii)
148,735
-------------
0
0
-------------
0
0
-------------
0
14,873
-------------
0
6,991
-------------
0
170,599
-------------
0
0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 4A PER CONFIDENTIALITY AGREEMENTS SIGNED BY THE ORGANIZATION, SEVERANCE PACKAGES PAID TO EMPLOYEES ARE NOT OPEN FOR PUBLIC INSPECTION.
Schedule J (Form 990) 2021

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
GARY SINISE FOUNDATION
 
Employer identification number

80-0587086
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) ROBERT GEORGE SON-IN-LAW OF BOARD DIRECTORS, GARY SINISE AND MOIRA SINISE 107,406 COMPENSATION   No
(2) GAVIN TREESE NEPHEW OF BOARD DIRECTORS, GARY SINISE AND MOIRA SINISE 82,896 COMPENSATION   No
(3) CAMDEN FELDMAN SON-IN-LAW OF BOARD DIRECTORS, GARY SINISE AND MOIRA SINISE 27,576 COMPENSATION   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
GARY SINISE FOUNDATION
 
Employer identification number

80-0587086
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock . X 106 1,155,009 FMV
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( CONSTRUCTION ) X 44 1,330,925 FMV
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2021)
Schedule M (Form 990) (2021)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 32B: THE ORGANIZATION USES STOCK BROKERS TO SELL SECURITIES UPON RECEIPT.
Schedule M (Form 990) (2021)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
GARY SINISE FOUNDATION
 
Employer identification number

80-0587086
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 GARY SINISE AND MOIRA SINISE ARE MARRIED.
FORM 990, PART VI, SECTION A, LINE 4 THE FOUNDATION'S BYLAWS WERE AMENDED ON MARCH 8, 2021 TO (I) ALLOW FOR THE EXPANSION OF THE SIZE OF THE BOARD OF DIRECTORS OF THE FOUNDATION FROM A MAXIMUM OF NINE (9) DIRECTORS TO A MAXIMUM OF ELEVEN (11) DIRECTORS, AND (II) PROVIDE THAT A QUORUM SHALL CONSIST OF AT LEAST A MAJORITY OF THE DIRECTORS THEN IN OFFICE. THE FOUNDATION'S BYLAWS WERE FURTHER AMENDED AND RESTATED ON JULY 12, 2021 TO (I) CONSOLIDATE ALL PREVIOUS AMENDMENTS INTO A SINGLE DOCUMENT, (II) FORMALLY DEFINE CERTAIN SIGNIFICANT ORGANIZATIONAL ACTIONS WHICH REQUIRE THE WRITTEN CONSENT OF THE SOLE MEMBER, (III) ESTABLISH LIMITS ON THE NUMBER OF CONSECUTIVE TERMS DIRECTORS MAY SERVE, (IV) FORMALLY INCORPORATE PROVISIONS GOVERNING THE COMPOSITION, MEETINGS, ACTIONS, DUTIES, AND POWERS OF THE FOUNDATION'S EXECUTIVE COMMITTEE, AUDIT COMMITTEE, AND ADVISORY GROUPS/COUNCILS, (V) ESTABLISH QUALIFICATIONS FOR CERTAIN OFFICERS OF THE FOUNDATION, (VI) FORMALLY ESTABLISH THE OFFICE OF THE VICE CHAIR OF THE BOARD, (VII) CLARIFY THE ROLES, RESPONSIBILITIES AND REPORTING OBLIGATIONS OF THE CHAIR, THE VICE CHAIR, THE CHIEF EXECUTIVE OFFICER, AND CHIEF OPERATING OFFICER OF THE FOUNDATION, AND (VIII) FORMALLY ESTABLISH PROVISIONS GOVERNING AMENDMENTS TO THE FOUNDATION'S CERTIFICATE OF INCORPORATION.
FORM 990, PART VI, SECTION A, LINE 5 IN MARCH 2021, THE FOUNDATION DISCOVERED THAT IT HAD BEEN THE VICTIM OF WIRE FRAUD. FOLLOWING PROMPT NOTIFICATION TO LAW ENFORCEMENT AUTHORITIES AND AN EXTENSIVE REVIEW, IT WAS DETERMINED THAT THE DATA BREACH OCCURRED IN LATE DECEMBER 2020 BUT THE OUTLAY OF CASH, TOTALING $1,151,380, WAS CRIMINALLY SEIZED IN THE FIRST QUARTER OF 2021. DUE TO THE BOARD'S IMMEDIATE AND COMPREHENSIVE RESPONSE TO THE SITUATION, A SUBSTANTIAL AMOUNT OF THE STOLEN FUNDS (NEARLY 31%) WAS RECOVERED DIRECTLY FROM THE BANKS INVOLVED WITH THE TRANSFERS. AS OF 11/14/2022, THE FOUNDATION HAS RECOVERED $355,774 AND HAS DEEMED THE REMAINING AMOUNT TO BE UNRECOVERABLE AND RECOGNIZED A LOSS OF $795,606 WHICH HAS BEEN INCLUDED AS AN NON-OPERATING ITEM IN THE FOUNDATION'S CONSOLIDATED STATEMENT OF ACTIVITIES. THE INVESTIGATION DID NOT UNCOVER ANY REASON TO BELIEVE THAT ANY OF THE FOUNDATION'S PERSONNEL OR SERVICE PROVIDERS WILLFULLY PARTICIPATED IN THE FRAUD. SUBSEQUENT TO THE DISCOVERY, THE FOUNDATION HAS IMPLEMENTED ADDITIONAL INTERNAL CONTROL MEASURES TO PREVENT ANY FUTURE DATA BREACH ATTEMPTS, MOVED FUNDS TO A MORE SECURE FINANCIAL INSTITUTION AND ONBOARDED A NEW IT COMPANY AND A NEW ACCOUNTING SERVICE PROVIDER. SOME CHANGES IN MANAGEMENT, INCLUDING THE DEPARTURE OF THE COO AND THE APPOINTMENT OF A CFO, HAVE ALSO OCCURRED IN LATE 2021. SUBSEQUENT TO YEAR END, THE FOUNDATION APPOINTED A NEW CONTROLLER IN FEBRUARY 2022.
FORM 990, PART VI, SECTION A, LINE 6 THE FOUNDATION'S SOLE MEMBER IS GARY SINISE.
FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE RIGHT TO APPOINT THE MEMBERS OF THE FOUNDATION'S GOVERNING BODY. THE FULL BOARD ACKNOWLEDGES THE APPOINTMENT OF ALL NEWLY APPOINTED BOARD OF DIRECTORS. THE APPOINTMENT OF A DIRECTOR FOR A SECOND, THIRD, AND/OR FOURTH CONSECUTIVE TERM ALSO REQUIRES THE AFFIRMATIVE VOTE OF A MAJORITY OF ALL DIRECTORS THEN IN OFFICE IN ORDER TO BE EFFECTIVE.
FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNANCE DECISIONS OF THE FOUNDATION ARE RESERVED TO ITS SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE FOLLOWING: (1) DONNA PALMER, INTERIM EXECUTIVE DIRECTOR (2) BARBARA TITUS, DIRECTOR/CHAIR OF AUDIT COMMITTEE (3) LEGAL COUNSEL. THE RETURN IS THEN PROVIDED TO THE REST OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C ALL INTERESTED PERSONS MUST DISCLOSE TO THE BOARD OR COMMITTEE OF WHICH THEY ARE A MEMBER ALL FINANCIAL INTERESTS AND BOARD MEMBERSHIPS AND ALL MATERIAL FACTS RELATING TO ANY ORGANIZATION ENTERING INTO A TRANSACTION OR ARRANGEMENT WITH THE FOUNDATION WHICH MAY RESULT IN A CONFLICT OF INTEREST. ANNUALLY THE BOARD OF DIRECTORS RECEIVE AN ANNUAL CONFLICT OF INTEREST POLICY AFFIRMATION AND DISCLOSURE STATEMENT. EACH BOARD MEMBER IS REQUIRED TO SIGN AND RETURN TO THE FOUNDATION THE ACKNOWLEDGEMENT AND CERTIFICATION.
FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 MAY ALSO BE INSPECTED ON WWW.GUIDESTAR.ORG
FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS MADE AVAILABLE ON GARYSINISEFOUNDATION.ORG
FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 3,619,242. MANAGEMENT AND GENERAL EXPENSES 609,427. FUNDRAISING EXPENSES 343,378. TOTAL EXPENSES 4,572,047.
FORM 990, PART XI, LINE 9: DECREASE IN VALUE OF CONTRIBUTIONS AND GRANTS RECEIVABLE -2,000,000. EXTRAORDINARY EXPENSE (SEE PART VI, SECTION A, LINE 5) -795,606.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
GARY SINISE FOUNDATION
 
Employer identification number

80-0587086
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) LT DAN BAND LLC
10960 WILSHIRE BLVD SUITE 700
LOS ANGELES,CA90024
80-0697116
MUSICAL ENTERTAINMENT PRIMARILY FOR MILITARY BASES. DE 6,703 27,753 GARY SINISE FOUNDATION
 










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
 
f Dividends from related organization(s) ............................
1f
 
 
g Sale of assets to related organization(s) ............................
1g
 
 
h Purchase of assets from related organization(s) ............................
1h
 
 
i Exchange of assets with related organization(s) ............................
1i
 
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
 
o Sharing of paid employees with related organization(s) ............................
1o
 
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
 
s Other transfer of cash or property from related organization(s) ............................
1s
 
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


Software ID:  
Software Version: