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 | |||||
| (A)
AMERICAN BOTANICAL COUNCIL |
742518542 | 9 | No | 1,000 | 0 | |
| (B)
CARMEL OF THE IMMACULATE HEART OF M |
876122093 | 1 | No | 5,000 | 0 | |
| (C)
CHURCH OF JESUS CHRIST OF LDS |
237300405 | 1 | Yes | 12,000 | 0 | |
| (D)
GOATS OF ANARCHY SANCTUARY |
812325062 | 9 | No | 103,000 | 0 | |
| (E)
SHRINERS HOSPITAL FOR CHILDREN |
362193608 | 3 | No | 10,000 | 0 | |
| (F)
UTAH VALLEY UNIVERSITY FNDN |
870036944 | 2 | No | 10,000 | 0 | |
| (G)
CATALINA ISLAND CONSERVANCY |
237228407 | 9 | No | 10,000 | 0 | |
| (H)
CHILDRENS HOSPITAL LOS ANGELES |
953777340 | 4 | No | 100,000 | 0 | |
| (I)
COLETTES CHILDREN HOME |
911939140 | 10 | No | 350,000 | 0 | |
| (J)
ECHOES OF HOPE |
260217549 | 10 | No | 30,000 | 0 | |
| (K)
ECTODERMAL DYSPLASIAS |
371112496 | 10 | No | 0 | 0 | |
| (L)
ELIZABETH HOUSE |
954451243 | 10 | No | 65,000 | 0 | |
| (M)
HILLSIDE SCHOOL & LEARNING CENTER |
952789645 | 10 | No | 10,000 | 0 | |
| (N)
KUER NPR UTAH |
873000525 | 2 | No | 0 | 0 | |
| (O)
LIVE YOUR DREAM FOUNDATION |
272234901 | 10 | Yes | 10,000 | 0 | |
| (P)
MAKE A WISH SAN DIEGO |
330039466 | 10 | No | 70,000 | 0 | |
| (Q)
MARINE CORPS SCHOLARSHIP FNDN |
221905062 | 10 | No | 0 | 0 | |
| (R)
MEALS ON WHEELS GREATER SAN DIEGO |
952660509 | 10 | No | 25,000 | 0 | |
| (S)
MOUNTAIN OF FAITH LUTHERAN CHURCH |
870549538 | 1 | No | 5,500 | 0 | |
| (T)
OGDEN VALLEY LAND TRUST |
876239206 | 10 | No | 500 | 0 | |
| (U)
OPERATION PAY IT FORWARD |
811938297 | 10 | No | 25,000 | 0 | |
| (V)
WEBER PATHWAYS |
870553907 | 2 | No | 500 | 0 | |
| (W)
PLANNED PARENTHOOD FEDERATION OF AM |
131644147 | 10 | No | 1,500 | 0 | |
| (X)
PROJECT INDEPENDENCE |
953147421 | 10 | No | 45,000 | 0 | |
| (Y)
PUPPIES BEHIND BARS |
133969389 | 10 | No | 15,000 | 0 | |
| (Z)
RONALD MCDONALD HOUSE CHARITIES |
742386043 | 10 | No | 66,000 | 0 | |
| (AA)
SALVATION ARMY |
941156347 | 10 | No | 70,000 | 0 | |
| (AB)
SOUTH DAVIS COMMUNITY HOSPITAL FOUN |
264043305 | 4 | No | 0 | 0 | |
| (AC)
STANFORD UNIVERSITY |
941156365 | 5 | No | 30,000 | 0 | |
| (AD)
ST FRANCIS HIGH SCHOOL |
951768858 | 2 | No | 0 | 0 | |
| (AE)
ST THOMAS AQUINAS SCHOO |
350896894 | 1 | No | 0 | 0 | |
| (AF)
THERE WITH CARE |
680606330 | 10 | No | 75,000 | 0 | |
| (AG)
TRUE SIOUX HOPE |
471440797 | 10 | No | 0 | 0 | |
| (AH)
UNION RESCUE MISSION |
951709293 | 10 | No | 50,000 | 0 | |
| (AI)
UTAH COUNCIL OF THE BLIND |
870415001 | 2 | No | 5,000 | 0 | |
| (AJ)
ZERO-THE END OF PROSTATE CANCER |
593400922 | 10 | No | 1,000 | 0 | |
| (AK)
BOY SCOUTS OF AMERICA ORANGE COUNT |
951727660 | 2 | No | 0 | 0 | |
| (AL)
BUILDING UTAH YOUTH |
464358439 | 2 | No | 0 | 0 | |
| (AM)
CALIFORNIA LABRADORS RETRIEVERS AND |
451589323 | 10 | No | 25,000 | 0 | |
| (AN)
CHARLEY HOFFMAN FOUNDATION |
270878940 | 10 | No | 0 | 0 | |
| (AO)
CHILDRENS CENTER |
876114073 | 10 | No | 0 | 0 | |
| (AP)
CHILDRENS MERCY HOSPITAL |
440605373 | 10 | No | 0 | 0 | |
| (AQ)
COVENANT HOUSE CALIFORNIA |
133391210 | 10 | No | 0 | 0 | |
| (AR)
CRAFT LAKE CITY |
454095000 | 10 | No | 0 | 0 | |
| (AS)
EMPOWER PLAYGROUNDS |
208836525 | 10 | No | 0 | 0 | |
| (AT)
HIMALAYAN CATARACT PROJECT |
030362926 | 10 | No | 0 | 0 | |
| (AU)
KAPPA SIGMA ENDOWMENT FUND |
366018518 | 10 | No | 0 | 0 | |
| (AV)
MAS MARIPOSAS |
473336305 | 10 | No | 0 | 0 | |
| (AW)
ORANGE LUTHERAN HIGH SCHOOL |
956122865 | 2 | No | 25,000 | 0 | |
| (AX)
PAYPAL CHARITABLE GIVING FUND |
450931286 | 10 | No | 0 | 0 | |
| (AY)
SEEDS OF SERVICE |
832102099 | 10 | No | 0 | 0 | |
| (AZ)
SEMPER FI FUND INJURED MARINE |
260086305 | 10 | No | 250,000 | 0 | |
| (BA)
ST JUDE CHILDRENS RESEARCH HOSPITA |
620646012 | 3 | No | 5,000 | 0 | |
| (BB)
AMERICAN CONSERVATORY THEATRE FOUND |
946135772 | 10 | No | 0 | 0 | |
| (BC)
ARCHDIOCESE OF SEATTLE |
910778147 | 1 | No | 3,000 | 0 | |
| (BD)
ASSOCIATION FOR FRONTOTEMPORAL DEGE |
412073220 | 4 | No | 0 | 0 | |
| (BE)
AUBURN THEOLOGICAL SEMINARY |
150532053 | 1 | No | 0 | 0 | |
| (BF)
BRIGHAM YOU UNIVERSITY |
870217280 | 5 | No | 2,000 | 0 | |
| (BG)
CATHOLIC COMMUNITY SERVICES |
911585652 | 10 | No | 10,000 | 0 | |
| (BH)
CATHOLIC DIOCESE OF SALT LAKE CITY |
262900444 | 1 | No | 0 | 0 | |
| (BI)
CHURCH WORLD SERVICE CROP HUNGER WA |
134080201 | 10 | No | 0 | 0 | |
| (BJ)
COMMUNITY FOUNDATION OF TETON VALLE |
830308856 | 10 | No | 0 | 0 | |
| (BK)
CONGREGATION OF KOL AMI |
870293863 | 1 | No | 1,800 | 0 | |
| (BL)
CORNER OF LOVE |
364612230 | 10 | No | 0 | 0 | |
| (BM)
FIDELITY CHARITABLE |
110303001 | 10 | No | 0 | 0 | |
| (BN)
FIRST AID ARTS |
371559826 | 10 | No | 1,000 | 0 | |
| (BO)
HILLEL-THE FOUNDATION FOR JEWISH CA |
943152892 | 10 | No | 0 | 0 | |
| (BP)
HONNOLD FOUNDATION |
830833980 | 10 | No | 0 | 0 | |
| (BQ)
HUDSON GUILD |
135562989 | 10 | No | 0 | 0 | |
| (BR)
HUMANITARIAN EXPERIENCE |
453117252 | 10 | No | 2,745 | 0 | |
| (BS)
IJ AND JEANNE WAGNER JEWISH COMMU |
870238425 | 10 | No | 15,000 | 0 | |
| (BT)
JEWISH FAMILY & CHILDRENS SERVICES |
941156528 | 10 | No | 18,000 | 0 | |
| (BU)
JEWISH FAMILY SERVICES OF UTAH |
870227089 | 10 | No | 1,800 | 0 | |
| (BV)
KESHET |
481278664 | 10 | No | 0 | 0 | |
| (BW)
NATIONAL AIDS MEMORIAL GROVE |
824329012 | 10 | No | 0 | 0 | |
| (BX)
NEW HORIZONS |
911250114 | 10 | No | 5,000 | 0 | |
| (BY)
NEW ISRAEL FUND |
453268077 | 10 | No | 0 | 0 | |
| (BZ)
NPH USA NUESTROS PEQUENOS HERMANOS |
651229309 | 10 | No | 100,000 | 0 | |
| (CA)
ONE JUSTICE |
942589423 | 10 | No | 0 | 0 | |
| (CB)
PARK CITY COMMUNITY CHURCH |
870395038 | 1 | No | 5,500 | 0 | |
| (CC)
SF JAZZ CENTER |
453268077 | 10 | No | 0 | 0 | |
| (CD)
SHA AR ZAHAV |
942477006 | 1 | No | 0 | 0 | |
| (CE)
ST BALDRICKS FOUNDATION |
201173824 | 10 | No | 100,000 | 0 | |
| (CF)
SAN FRANCISCO JEWISH COMMUNITY PUBL |
941089387 | 10 | No | 0 | 0 | |
| (CG)
ST JAMES CATHEDRAL |
910567738 | 1 | No | 15,000 | 0 | |
| (CH)
STEPHEN SILLER TUNNELS TO TOWERS FO |
020554654 | 10 | No | 0 | 0 | |
| (CI)
TAPROOT THEATRE COMPANY |
910971237 | 10 | No | 1,000 | 0 | |
| (CJ)
TELEIOS |
911126140 | 10 | No | 2,000 | 0 | |
| (CK)
UNITED JEWISH FEDERATION OF UTAH |
870282380 | 10 | No | 5,400 | 0 | |
| (CL)
UNIVERSITY OF UTAH |
876000525 | 2 | No | 6,500 | 0 | |
| (CM)
UNIVERSITY PRESBYTERIAN CHURCH |
910564756 | 1 | No | 10,000 | 0 | |
| (CN)
VETERAN GOLFERS ASSOCIATION |
471396908 | 10 | No | 0 | 0 | |
| (CO)
WEST HILLS HIGH SCHOOL FOUNDATION |
330778585 | 2 | No | 0 | 0 | |
| (CP)
WORLD FOOD PROGRAM |
133843435 | 10 | No | 2,000 | 0 | |
| (CQ)
ALEXANDER HOUSE APOSTOLATE |
742918866 | 9 | No | 5,000 | 0 | |
| (CR)
BALBOA ISLAND MUSEUM |
330880998 | 10 | No | 2,500 | 0 | |
| (CS)
BEST FRIENDS ANIMAL SOCIETY |
237147797 | 10 | No | 250 | 0 | |
| (CT)
BLAINE COUNTY RECREATIONAL DISTRICT |
943166817 | 7 | No | 500 | 0 | |
| (CU)
BOYS & GIRLS CLUBS OF THOMAS COUNTY |
582426833 | 10 | No | 10,000 | 0 | |
| (CV)
BOUNTIFUL COMMUNITY FOOD PANTRY |
841628459 | 7 | No | 1,000 | 0 | |
| (CW)
Cheyenne Animal Shetler |
237147797 | 10 | No | 250 | 0 | |
| (CX)
Cheyenne Botanic Garden |
830302260 | 10 | No | 300 | 0 | |
| (CY)
Community Kitchen |
841539998 | 10 | No | 250 | 0 | |
| (CZ)
Community Nursing Services |
870212459 | 10 | No | 15,000 | 0 | |
| (DA)
CounterPulse |
942986114 | 10 | No | 1,080 | 0 | |
| (DB)
Davis Education Foundation |
870386379 | 10 | No | 2,000 | 0 | |
| (DC)
Davis Hospice Center |
830236858 | 10 | No | 100 | 0 | |
| (DD)
Donnie Edwards Best Defense Foundat |
825125497 | 10 | No | 20,000 | 0 | |
| (DE)
Downtown Driggs Association |
463110846 | 10 | No | 2,500 | 0 | |
| (DF)
FOCUS North America |
264427803 | 10 | No | 1,500 | 0 | |
| (DG)
Friends of Robinson Gardens |
953797323 | 9 | No | 10,000 | 0 | |
| (DH)
Friends of Switchpoint |
760740457 | 7 | No | 10,000 | 0 | |
| (DI)
Fundacion Rose |
860949132 | 9 | No | 33,000 | 0 | |
| (DJ)
Global lnterdepencence center |
232138619 | 7 | No | 10,000 | 0 | |
| (DK)
Gratitude Gate Farm Sanctuary |
814987138 | 10 | No | 2,000 | 0 | |
| (DL)
Greek America Cultural & Educationa |
811672793 | 10 | No | 750 | 0 | |
| (DM)
Hands4Hope LA |
954791662 | 7 | No | 10,000 | 0 | |
| (DN)
Hapi Trails Horse Adoption Program |
270510651 | 10 | No | 10,000 | 0 | |
| (DO)
Happy Heart Happy Home Farm & Rescu |
825263851 | 10 | No | 2,000 | 0 | |
| (DP)
Heifer lnternationalWorld Ark |
710699939 | 10 | No | 1,000 | 0 | |
| (DQ)
Hellenic Orthodox Church of Sts |
836011612 | 10 | No | 1,100 | 0 | |
| (DR)
Here With Us Farm Sanctuary |
834256890 | 10 | No | 1,000 | 0 | |
| (DS)
High Hopes Head Injury Program |
510177972 | 10 | No | 130,000 | 0 | |
| (DT)
Holy Trinity Greek Orthodox Church |
870214888 | 10 | No | 43,150 | 0 | |
| (DU)
Hudson Guild |
135562989 | 10 | No | 1,000 | 0 | |
| (DV)
Huntsman Cancer Foundation |
870541293 | 10 | No | 1,000 | 0 | |
| (DW)
INN Between |
472339595 | 10 | No | 5,000 | 0 | |
| (DX)
IOCC Foundation |
861131936 | 10 | No | 1,500 | 0 | |
| (DY)
Jesus Daily |
237447648 | 10 | No | 250 | 0 | |
| (DZ)
John Tracy Center |
951642393 | 10 | No | 500 | 0 | |
| (EA)
Kappa Kappa Gamma Foundation |
316049792 | 10 | No | 300 | 0 | |
| (EB)
Kinder Way Farm Sanctuary |
833078597 | 10 | No | 10,000 | 0 | |
| (EC)
King Baudouin Foundation US |
582277856 | 10 | No | 2,000 | 0 | |
| (ED)
Marine Corps Scholarship Fndn |
221905062 | 10 | No | 50,000 | 0 | |
| (EE)
Meso Foundation |
831357114 | 4 | No | 19,882 | 0 | |
| (EF)
Murray Childrens Pantry |
851334280 | 10 | No | 500 | 0 | |
| (EG)
NatI Fndn For Ectodermal Dyspl |
371112496 | 10 | No | 60,000 | 0 | |
| (EH)
Neighborhood House Association |
870212462 | 10 | No | 500 | 0 | |
| (EI)
Old Fogey Farm Sanctuary |
834053755 | 10 | No | 2,000 | 0 | |
| (EJ)
Old West Museum |
830239830 | 10 | No | 500 | 0 | |
| (EK)
Pacific Marine Mammal Center |
953680896 | 10 | No | 25,000 | 0 | |
| (EL)
Paws for Purple Hearts |
453342634 | 10 | No | 20,000 | 0 | |
| (EM)
Project MexicoSt Innocent Orphanag |
330521448 | 10 | No | 1,250 | 0 | |
| (EN)
Rancho Relaxo |
475164730 | 10 | No | 10,000 | 0 | |
| (EO)
Rescue Mission of Salt Lake |
237177264 | 10 | No | 1,000 | 0 | |
| (EP)
Road 2 Refuge Sanctuary |
844605238 | 10 | No | 2,000 | 0 | |
| (EQ)
Salvation Army |
133485289 | 10 | No | 1,000 | 0 | |
| (ER)
Congreation Shaar Zahav |
942477006 | 7 | No | 10,080 | 0 | |
| (ES)
Sleepy Pig Farm |
833471093 | 10 | No | 2,000 | 0 | |
| (ET)
Southern Utah Wilderness Alliance |
942936961 | 7 | No | 1,500 | 0 | |
| (EU)
Spur Community Foundation |
812375057 | 7 | No | 1,000 | 0 | |
| (EV)
SOWA Goat Sanctuary |
850696882 | 10 | No | 3,000 | 0 | |
| (EW)
Srs Raise the Roof Foundation |
461004477 | 10 | No | 35,000 | 0 | |
| (EX)
Tamerlaine Sanctuary & Preserve |
473566009 | 10 | No | 3,000 | 0 | |
| (EY)
The Road Home |
870212465 | 10 | No | 1,000 | 0 | |
| (EZ)
Tiny Hero |
812211150 | 10 | Yes | 3,000 | 0 | |
| (FA)
Tooele Community Resource Center |
760740457 | 7 | No | 500 | 0 | |
| (FB)
Tony Finau Foundation |
472111415 | 10 | Yes | 6,000 | 0 | |
| (FC)
University of Washington Foundation |
943079432 | 7 | No | 20,000 | 0 | |
| (FD)
Utah Food Bank |
870212453 | 7 | Yes | 11,000 | 0 | |
| (FE)
Utah Foster Care Foundation |
870619181 | 7 | No | 500 | 0 | |
| (FF)
Wasatch Community Gardens |
742550359 | 10 | No | 5,000 | 0 | |
| (FG)
OPERATION UNDERGROUND RAILROAD |
463614979 | 10 | No | 10,000 | 0 | |
|
Total 163
|
2,467,737 | 0 | ||||
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.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 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: | 21013475 |
| Software Version: | 2021v4.1 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | No review was or will be conducted. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | No documents available to the public. |
| Software ID: | 21013475 |
| Software Version: | 2021v4.1 |