TY 2021 Form 990PF

Part I	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)	(a) Revenue and expenses per books	(b) Net investment income	(c) Adjusted net income	(d) Disbursements for charitable purposes (cash basis only)
	1	Contributions, gifts, grants, etc., received (attach schedule)	235,242
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10
b	Gross sales price for all assets on line 6a
7	Capital gain net income (from Part IV, line 2)...		0
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......		919	0	919
12	Total. Add lines 1 through 11........	236,161	0	919
	13	Compensation of officers, directors, trustees, etc.	50,492	0	0	50,492
14	Other employee salaries and wages......	88,839	0	0	88,839
15	Pension plans, employee benefits.......	9,558	0	0	9,558
16a	Legal fees (attach schedule).........		6,965	0	0	6,965
b	Accounting fees (attach schedule).......		5,206	0	0	5,206
c	Other professional fees (attach schedule)....		34,309	0	0	34,309
17	Interest...............	277	0	0	277
18	Taxes (attach schedule) (see instructions)...
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............	2,125	0	0	2,125
21	Travel, conferences, and meetings.......	1,228	0	0	1,228
22	Printing and publications..........	1,063	0	0	1,063
23	Other expenses (attach schedule).......		40,519	0	919	186,830
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	240,581	0	919	386,892
25	Contributions, gifts, grants paid.......	0			0
26	Total expenses and disbursements. Add lines 24 and 25	240,581	0	919	386,892
	27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-4,420
b	Net investment income (if negative, enter -0-)		0
c	Adjusted net income (if negative, enter -0-)...			0

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	438,538	427,907	427,907
	2	Savings and temporary cash investments.........
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........		7,500	7,500
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	438,538	435,407	435,407
	17	Accounts payable and accrued expenses..........	2,909	1,226
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )	0	2,972
	23	Total liabilities (add lines 17 through 22).........	2,909	4,198
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	420,629	431,209
	25	Net assets with donor restrictions............	15,000	0
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........
	27	Paid-in or capital surplus, or land, bldg., and equipment fund
	28	Retained earnings, accumulated income, endowment, or other funds
	29	Total net assets or fund balances (see instructions).....	435,629	431,209
	30	Total liabilities and net assets/fund balances (see instructions).	438,538	435,407

(a) List and describe the kind(s) of property sold (e.g., real estate, 2-story brick warehouse; or common stock, 200 shs. MLC Co.)		(b) How acquired P—Purchase D—Donation	(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1a
b
c
d
e

(e) Gross sales price		(f) Depreciation allowed (or allowable)	(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a
b
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(i) F.M.V. as of 12/31/69	(j) Adjusted basis as of 12/31/69	(k) Excess of col. (i) over col. (j), if any
a
b
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2	0
3	Add lines 1 and 2...........................	3	0
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4	0
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	0
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a
b	Exempt foreign organizations—tax withheld at source......	6b
c	Tax paid with application for extension of time to file (Form 8868)...	6c
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7	0
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	0
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9	0
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax	Refunded	11

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
MIRIAM AMENT	FOUNDER/PRESIDENT 20.00	50,492	0	0
2651 W GREENLEAF AVE 1W CHICAGO,IL60645
NATHAN BENDITZSON	VICE PRESIDENT 5.00	0	0	0
8741 N HARDING SKOKIE,IL60076
DAVID FORMAN	TREASURER 2.50	0	0	0
2651 W GREENLEAF AVE 1W CHICAGO,IL60645
HEIDI KALMAN	DIRECTOR 0.50	0	0	0
6245 N SACRAMENTO AVE CHICAGO,IL60659
SHIFRA KOLSKY	SECRETARY 7.50	0	0	0
2926 W LUNT CHICAGO,IL60645
HILLEL MORRIS	DIRECTOR 0.50	0	0	0
9027 KEDVALE AVE SKOKIE,IL60076
REBECCA POGONITZ	DIRECTOR 0.50	0	0	0
9655 WOODS DR 706 SKOKIE,IL60076
STACEY SCHWARTZ	DIRECTOR 0.50	0	0	0
4325 ENFIELD SKOKIE,IL60076
DANIEL WARSHAWSKY	DIRECTOR 0.50	0	0	0
654 W WELLINGTON AVE APT 1 CHICAGO,IL60657
BONNIE LANE	DIRECTOR 0.50	1,750	0	0
2443 SEVILLE CIRCLE NORTHBROOK,IL60062
GAIL BERGER-DARLOW	DIRECTOR 0.50	0	0	0
9420 KEELER AVE SKOKIE,IL60076

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1	IN RESPONSE TO THE NEED TO ADDRESS CAMPER AND STAFF MENTAL HEALTH, NO SHAME ON U PROVIDED MENTAL HEALTH TRAINING TO SUMMER CAMP STAFF. STAFF LEARNED ABOUT MENTAL HEALTH RISK FACTORS AND WARNING SIGNS, AND LEFT THE SESSIONS EMPOWERED TO CREATE A POSITIVE AND CARING CAMP ENVIRONMENT AND THE ABILITY TO REDUCE THEIR OWN STRESS. NO SHAME ON U'S TEEN AMBASSADOR PROGRAM IS AN IMMERSIVE LEADERSHIP PROGRAM THAT EDUCATES JEWISH HIGH SCHOOL STUDENTS ABOUT MENTAL HEALTH ISSUES AND EMPOWERS THEM TO SPREAD AWARENESS IN THEIR RESPECTIVE COMMUNITIES. NO SHAME ON U TEEN PROGRAMMING REACHED OVER 985 PARTICIPANTS.	45,541
2	VIRTUAL MINDFUL YOGA: NO SHAME ON U HELD VIRTUAL MINDFUL YOGA SESSIONS, A WEEKLY 30 MINUTE YOGA CLASS WITH A SPECIAL FOCUS ON MENTAL WELLBEING AND MINDFULNESS. WITH THE GOAL OF CALMING THE MIND AND STRENGTHENING THE BODY, REGULAR YOGA PRACTICE IS AN EFFECTIVE WAY TO MANAGE STRESS, ANXIETY, AND DEPRESSION SYMPTOMS. THERE WERE MORE THAN 540 PARTICIPANTS.	23,909
3	NO SHAME ON U CONDUCTS REGULARLY OCCURRING MEETINGS IN WHICH PEOPLE EXPERIENCING SIMILAR PROBLEMS OR LIFE TRANSITIONS COME TOGETHER TO SHARE PERSONAL EXPERIENCES AND COPING STRATEGIES. WITH THE LEADERSHIP OF A PROFESSIONAL, EACH GROUP HAS A DIFFERENT FOCUS. THERE WERE OVER 170 PARTICIPANTS.	11,158
4	GENERAL PROGRAMS: NO SHAME ON U REACHES OUT TO THE COMMUNITY IN VARIED WAYS. THROUGH A COMBINATION OF WORKSHOPS, FACILITATED DISCUSSIONS, COMMUNITY EVENTS, AND CLASSES, NO SHAME ON U REACHED OVER 6200 PEOPLE TO RAISE AWARENESS, EDUCATE, AND PROVIDE STRATEGIES FOR COPING, ALL WITH THE GOAL TO LESSEN THE IMPACT OF MENTAL HEALTH STIGMA AND HELP CONNECT PEOPLE WITH RESOURCES.	82,133

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1


2


All other program-related investments. See instructions.
3

		(a) Corpus	(b) Years prior to 2020	(c) 2020	(d) 2021
1 Distributable amount for 2021 from Part X, line 7					23,257
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......				0
b Total for prior years:20, 20, 20			0
3 Excess distributions carryover, if any, to 2021:
a From 2016......	56,061
b From 2017......	70,597
c From 2018......	71,119
d From 2019......	98,874
e From 2020......	109,919
f Total of lines 3a through e ........		406,570
4Qualifying distributions for 2021 from Part
XI, line 4: $ 386,892
a Applied to 2020, but not more than line 2a				0
b Applied to undistributed income of prior years (Election required—see instructions).....			0
c Treated as distributions out of corpus (Election required—see instructions)........		0
d Applied to 2021 distributable amount.....					23,257
e Remaining amount distributed out of corpus		363,635
5 Excess distributions carryover applied to 2021.		0			0
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		770,205
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........			0
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......			0
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........			0
e Undistributed income for 2019. Subtract line 4a from line 2a. Taxable amount—see instructions .............				0
f Undistributed income for 2021. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2022 ..........					0
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......		0
8 Excess distributions carryover from 2016 not applied on line 5 or line 7 (see instructions) ...		56,061
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......		714,144
10 Analysis of line 9:
a Excess from 2017....	70,597
b Excess from 2018....	71,119
c Excess from 2019....	98,874
d Excess from 2020....	109,919
e Excess from 2021....	363,635

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2021	(b) 2020	(c) 2019	(d) 2018	(e) Total

b 85% (0.85) of line 2a .........
c Qualifying distributions from Part XI, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part IX, line 6 for each year listed ..
c “Support" alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

MIRIAM AMENT

aThe name, address, and telephone number or email address of the person to whom applications should be addressed:

bThe form in which applications should be submitted and information and materials they should include:

cAny submission deadlines:

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

Line No.	Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)
1A	REVENUE FOR CHARGES FOR MENTAL HEALTH PROGRAMS
1B	MENTAL HEALTH TRAINING

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

(a) Name of organization	(b) Type of organization	(c) Description of relationship


(a) Name and address of each employee paid more than $50,000	(b) Title, and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
WENDY SINGER	DIR. OF PROGRAMMING 40.00	51,074	0	0
4411 N RAVENSWOOD AVE 3 CHICAGO,IL60640	DIR. OF PROGRAMMING 40.00	51,074	0	0








Total number of other employees paid over $50,000...................				0

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year

Total ................................. 3a				0

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....
3 Interest on savings and temporary cash investments ...........
4 Dividends and interest from securities ....
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6 Net rental income or (loss) from personal property
7 Other investment income .....
8 Gain or (loss) from sales of assets other than inventory ............
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..		0		0	919

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

bApproved for future payment

Total ................................. 3b				0

Name of organization NO SHAME ON U INC			Employer identification number 47-2268140

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
1	UPSTART 1111 BROADWAY 3RD FLOOR OAKLAND, CA94607	$ 10,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
2	SUSAN AND JOSEPH AMENT 4545 W TOUHY AVE 315 LINCOLNWOOD, IL60645	$ 18,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
3	JEWISH WOMEN'S FOUNDATION 30 S WELLS CHICAGO, IL60606	$ 22,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
4	JEWISH UNITED FUND 30 S WELLS CHICAGO, IL60606	$ 55,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
5	CHARLES & MR SHAPIRO FOUNDATION 899 SKOKIE BLVD SUITE 512 NORTHBROOK, IL60062	$ 5,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
6	CROWN FAMILY PHILANTHROPIES 222 N LA SALLE ST 2200 CHICAGO, IL60601	$ 35,000		Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Name of organization NO SHAME ON U INC			Employer identification number 47-2268140
Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
7	LEV ZAHAV 2844 W JARVIS AVE CHICAGO, IL60645	$ 8,200		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
		$		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
		$		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
		$		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
		$		Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions		(d) Type of contribution
		$		Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Name of organization NO SHAME ON U INC		Employer identification number 47-2268140

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)


Name of organization NO SHAME ON U INC			Employer identification number 47-2268140
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.) $ Use duplicate copies of Part III if additional space is needed.

Description	Revenue and Expenses per Books	Adjusted Net Income	Disbursements for Charitable Purposes
SPEAKER FEE	7,950	919	154,531
ADVERTISING/MARKETING	5,422	0	5,422
DONOR DATABASE	421	0	421
PROGRAM EXPENSES	5,075	0	5,075
OFFICE EXPENSE	10,219	0	9,710
BOARD INSURANCE	1,712	0	1,712
WEBSITE AND DOMAIN	1,526	0	1,526
EDUCATIONAL TOOLS	5,000	0	5,000
OTHER	3,194	0	3,433

Category	Amount	Disbursements for Charitable Purposes
FUNDRAISING CONSULTANT	2,500	2,500
EXECUTIVE SEARCH	12,625	12,625
STRATEGIC PLANNING	15,000	15,000
HUMAN RESOURCE CONSULTING	3,650	3,650
IT CONSULTANT	534	534

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