Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year
(or fiscal year beginning in)
![]() |
(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.") .. | 199,000 | 414,000 | 606,564 | 1,219,564 | ||
| 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 | 199,000 | 414,000 | 606,564 | 1,219,564 | ||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 1,219,564 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 199,000 | 414,000 | 606,564 | 1,219,564 | ||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 1,219,564 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 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..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO LEAD A STATE-WIDE COALITION TO DEVELOP A CLOSELY-ALIGNED TRAUMA-INFORMED PUBLIC AND PRIVATE NETWORK WORKING TOWARD A UNITED VISION TO CREATE A BIRTH THROUGH 26-YEAR-OLD INTEGRATED BEHAVIORAL HEALTH SYSTEM. KEY COMPONENTS TO BE IMPLEMENTED BY OUR PARTNERS INCLUDE PREVENTION, EARLY INTERVENTION, RESEARCH, ADVOCACY AND POLICY, AND SYSTEM OF CARE IMPLEMENTATION AND COORDINATION. |
| FORM 990, PAGE 1, PART I, LINE 6 | ALL OF THE BOARD MEMBERS ARE VOLUNTEERS. |
| FORM 990, PAGE 2, PART III, LINE 4A | RESILIENT GEORGIA'S ED DEVOTED ABOUT 40% OF THEIR TIME TO PROGRAMMATIC AND COMMUNITY BASED EFFORTS. IN 2021 THE ORGANIZATION PARTNERED WITH THE PITTULLOCH FOUNDATION AND THE JESSE PARKER WILLIAMS FOUNDATION TO HELP MANAGE AND PROVIDE TECHNICAL ASSISTANCE TO 16 REGIONAL GRANTEES (SAVANNAH, ATHENS, AUGUSTA, BRUNSWICK, GAINESVILLE, MACON, ROME, COLUMBUS, ALBANY, THOMASVILLE, VALDOSTA, WAYCROSS AND THE SURROUNDING AREAS, AS WELL AS CLAYTON, COBB, DEKALB, FULTON, GWINNETT COUNTIES). THIS WORK COVERED 120 COUNTIES ACROSS THE STATE. THE ED HAS DEVOTED TIME TO HELP GET EACH OF THE 16 REGIONS TRAUMA INFORMED THROUGH TRAINING EFFORTS AND IMPLEMENTATION, SEMINARS FOR THE PUBLIC AND COMMUNITY MEMBERS, AND VARIOUS COMMUNICATION AND AWARENESS EFFORTS. IN ADDITION, THE ED HAS SPENT ANOTHER 20% PROMOTING VARIOUS TRAUMA INFORMED TRAINING OPPORTUNITIES TO OVER 850 PARTNERS AND HAS HELPED TO PRODUCE 3 LARGE STAKEHOLDERS MEETINGS. THE ED HAS DEVOTED ANOTHER 15% TO ASSISTING THE GOVERNORS BEHAVIORAL HEALTH REFORM AND INNOVATION COMMISSION (HTTPS://WWW.HOUSE.GA.GOV/COMMITTEES/EN- US/BEHAVIORALHEALTHREFORMANDINNOVATIONCOMMISSION.ASPX) SCHEDULE AND IDENTIFY SUBJECT MATTER EXPERTS TO TESTIFY TO THE COMMISSION AND SUGGEST BEST PRACTICES FOR FUTURE LEGISLATION AND ADMINISTRATIVE REFORM. |
| FORM 990, PAGE 2, PART III, LINE 4B | RESEARCH TO COMPILE, SYNTHESIZE AND COMMUNICATE DATA REGARDING EFFORTS ADDRESSING ADVERSE CHILDHOOD EXPERIENCES(ACES)AND TRAUMA-INFORMED CARE (TIC) IN GEORGIA AND NATIONWIDE. THIS RESEARCH IS ONGOING AND IS TO HELP IDENTIFY BEHAVIORAL HEALTH AND PREVENTION GAPS IN GEORGIA THAT CAN BE SHARED WITH OUR PARTNERS TO DEVELOP STRATEGIES TO FILL THESE GAPS. IN ADDITION, RESEARCH HAS BEEN DONE TO BETTER UNDERSTAND THE COST OF BEHAVIORAL HEALTH CARE IN GEORGIA. THAT WORK IS ALSO ONGOING AND BEING PERFORMED THROUGH A PARTNERSHIP WITH THE UNIVERSITY OF GEORGIA AND CHILDRENS HEALTHCARE OF ATLANTA. LINKS TO SOME OF THE RESULTS OF THIS RESEARCH ARE BELOW: HTTPS://WWW.RESILIENTGA.ORG/REPORTS-BRIEFS |
| FORM 990, PAGE 2, PART III, LINE 4D | CONFERENCE SPONSORSHIPS PAID BY RESILIENT GEORGIA PROMOTING BEHAVIORAL HEALTH. |
| FORM 990, PAGE 6, PART VI, LINE 7A | MICHAEL O'NEAL - ELECTED EXECUTIVE BOARD MEMEBER IN 2021 FABRICIA PRADO - ELECTED EXECUTIVE BOARD MEMEBER IN 2021 |
| FORM 990, PAGE 6, PART VI, LINE 9 | BRENDA FITZGERALD, MD 5170 PEACHTREE RD, BLDG 100, STE 400 ATLANTA, GA 30341 BONNIE HARDAGE 5170 PEACHTREE RD, BLDG 100, STE 400 ATLANTA, GA 30341 KATHRYN MARTIN 5170 PEACHTREE RD, BLDG 100, STE 400 ATLANTA, GA 30341 DANIEL SALINAS 5170 PEACHTREE RD, BLDG 100, STE 400 ATLANTA, GA 30341 REBECCA BLANTON 5170 PEACHTREE RD, BLDG 100, STE,400 ATLANTA, GA 30341 EMILY ANNE VALL 5170 PEACHTREE RD BLDG 100, STE 400 ATLANTA, GA 30341 MICHELE SMITH 5170 PEACHTREE RD, BLDG 100, STE 400 ATLANTA, GA 30341 FABRICIA PRADO 5170 PEACHTREE RD, BLDG 100, STE 400 ATLANTA, GA 30341 MICHAEL O'NEAL 5170 PEACHTREE RD, BLDG 100, STE 400 ATLANTA, GA 30341 |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE EXECUTIVE DIRECTOR FORWARDS COPIES OF FORM 990 TO EACH OF THE BOARD MEMBERS TO REVIEW. THE BOARD DISCUSSES THE FORM 990 AT A BOARD MEETING AND ADDRESSES ANY COMMENTS AND/OR CHANGES TO THE FORM 990. THE BOARD APPROVES THE FORM 990 PRIOR TO ITS FILING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | TO DATE THE EXECUTIVE DIRECTOR HAS NOT GONE THROUGH A REVIEW, AS THE ORGANIZATION IS IN THE EARLY STAGES OF DEVELOPMENT. THEY PLAN TO BEGIN ANNUAL REVIEWS IN THE NEAR FUTURE. WHEN THEY DO, THE BOARD CHAIR AND THE EXECUTIVE COMMITTEE WILL CONDUCT THE ANNUAL COMPENSATION REVIEW FOR THE EXECUTIVE DIRECTOR POSITION. ANY COMPENSATION ADJUSTMENTS WILL BE PROVIDED IN WRITING TO THE EXECUTIVE DIRECTOR. |
| FORM 990, PAGE 6, PART VI, LINE 15B | NONE |
| FORM 990, PAGE 6, PART VI, LINE 18 | HTTPS://APPS.IRS.GOV/APP/EOS/ALLSEARCH |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE CERTIFICATE AND ARTICLES OF INCORPORATION ARE AVAILABLE ON THE GEORGIA SOS WEBSITE. THE FROM 990 IS AVAILABLE ON THE IRS EXEMPT ORGANIZATION SEARCH WEBSITE OR UPON REQUEST. ALL OTHER GOVERNING DOCUMENTS CAN BE FOUND EITHER ON THEIR WEBSITE OR UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONFERENCE SPONSORSHIP 12,980 0 0 PROGRAM RESEARCH 170,955 0 0 EXECUTIVE ASSISTANT 0 27,616 0 COMMUNICATIONS 23,157 0 0 EDUCATION AND TRAINING 24,911 920 0 MARKETING 0 30,045 0 PROGRAMMATIC 16,383 0 0 STRATEGY AND EVALUATION 84,770 0 0 CONSULTING - GENERAL 0 7,982 0 TOTAL 333,156 66,563 0 |
| Software ID: | |
| Software Version: |