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 |
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Calendar year
(or fiscal year beginning in)
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(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.") .. | 1,783,680 | 2,155,593 | 1,915,994 | 2,166,782 | 2,227,348 | 10,249,397 |
| 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 | 1,783,680 | 2,155,593 | 1,915,994 | 2,166,782 | 2,227,348 | 10,249,397 |
| 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. | 10,249,397 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,783,680 | 2,155,593 | 1,915,994 | 2,166,782 | 2,227,348 | 10,249,397 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 92 | 164 | 14 | 270 | ||
| 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 | 10,249,667 | |||||
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) |
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| 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) |
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| 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. |
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| 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) |
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| 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. |
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|
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. |
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|
7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 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 |
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| Return Reference | Explanation |
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| 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, PAGE 1, ITEM C | BRAIN INJURY ALLIANCE OF COLORADO |
| FORM 990, PAGE 2, PART III, LINE 4A | BRAIN INJURY PROFESSIONAL NETWORKS - THESE NETWORKS ARE GROUPS OF PROVIDERS, ALL INVOLVED IN THE BRAIN INJURY WORLD WHO MEET ON A REGULAR BASIS FOR NETWORKING, EDUCATION AND TO UNDERTAKE VARIOUS PROJECTS FOR THE BENEFIT OF THE SURVIVOR COMMUNITY. COLORADO BRAIN INJURY PROGRAM ADULT SERVICES - BIAC IS THE SINGLE ENTRY POINT FOR THE COLORADO BRAIN INJURY PROGRAM (CBIP). BIAC HELPS CLIENTS WITH THE APPLICATION PROCESS FOR THE PROGRAM. BIAC APPROVES THE APPLICATION FOR THIS PROGRAM THAT OFFERS STATEWIDE CASE MANAGEMENT SERVICES TO ADULTS WHO HAVE SUSTAINED A TBI. COLORADO YOUTH BRAIN INJURY CONNECTIONS - A PART OF THE COLORADO BRAIN INJURY PROGRAM, BIAC PROVIDES STATE-WIDE INTAKE AND REFERRALS OF YOUTHS IN THE COMMUNITY WITH ANY TYPE OF BRAIN INJURY. BIAC WROKS CLOSELY WITH THE COLORADO DEPARTMENT OF EDUCATION AS WELL AS SCHOOL DISTRICTS AND SCHOOLS TO HELP THE CHILD AND FAMILY TO THRIVE IN THE EDUCATION SYSTEM POST-INJURY. |
| FORM 990, PAGE 2, PART III, LINE 4B | CLIENT SUPPORT, ADVOCACY, INFORMATION AND RESOURCES: SELF-MANAGEMENT/SKILL BUILDING - SELF-MANAGEMENT IS A PROGRAM DESIGNED AND AVAILABLE FOR SURVIVORS OF A TRAUMATIC BRAIN INJURY (TBI) WHO WANT TO INVEST TIME IN IMPROVING THEIR SKILLS IN SPECIFIC AREAS THAT CAN BE CHALLENGING AFTER A BRAIN INJURY. BIAC ADVISORS WILL WORK ONE-ON-ONE WITH EACH PARTICIPANT TO ASSESS THEIR STRENGTHS AND WEAKNESSES, IDENTIFY NATURAL SUPPORTS IN THEIR LIFE, AND DEVELOP STRATEGIES FOR BUILDING SPECIFIC SKILLS WITH THE GOAL OF GREATER SELF-SUFFICIENCY. BRAIN INJURY PROFESSIONAL NETWORKS - THESE NETWORKS ARE GROUPS OF PROVIDERS, ALL INVOLVED IN THE BRAIN INJURY WORLD WHO MEET ON A REGULAR BASIS FOR NETWORKING, EDUCATION AND TO UNDERTAKE VARIOUS PROJECTS FOR THE BENEFIT OF THE SURVIVOR COMMUNITY. RESOURCE NAVIGATION: RESOURCE NAVIGATION IS OUR FOUNDATIONAL SUPPORT PROGRAM FOR SURVIVORS, FAMILY MEMBERS, AND CAREGIVERS. IT IS INTENDED TO BE QUICK AND EASY TO ACCESS. EDUCATION CONSULTATION - BIAC PROVIDES STATE-WIDE INTAKE AND REFERRALS OF YOUTHS IN THE COMMUNITY WITH ANY TYPE OF BRAIN INJURY. BIAC WORKS CLOSELY WITH THE COLORADO DEPARTMENT OF EDUCATION AS WELL AS SCHOOL DISTRICTS AND SCHOOLS TO HELP THE CHILD AND FAMILY TO THRIVE IN THE EDUCATION SYSTEM POST-INJURY. CRIMINAL JUSTICE SYSTEM - OUR GOAL IS TO OFFER SUPPORT FOR INDIVIDUALS INVOLVED IN THE CRIMINAL JUSTICE SYSTEM SO THEY MAY IMPROVE THEIR WELL- BEING AND STRENGTHEN THE GREATER COMMUNITY. WE APPROACH INDIVIDUALS INVOLVED IN THE SYSTEM WITH THE SAME COMPASSION AND NONDISCRIMINATORY MINDSET AS WE DO FOR ALL SURVIVORS OF AN INJURY TO THE BRAIN. CLASSES AND WORKSHOPS - SEVERAL CLASSES AND WORKSHOPS DESIGNED FOR SURVIVORS OF A BRAIN INJURY AND THEIR FAMILY MEMBERS/CAREGIVERS ARE HELD THROUGHOUT THE STATE. THE WORKSHOPS ARE FREE OR VERY AFFORDABLE AND FEATURE TOPICS THAT SURVIVORS AND CAREGIVERS CAN USE AT HOME. COMMUNITY OUTREACH & EDUCATION - BIAC STAFF GIVE PRESENTATIONS, EXHIBITS, AND SEMINARS THROUGHOUT COLORADO TO MANY DIFFERENT COMMUNITY GROUPS DEPENDING ON THEIR SPECIFIC NEEDS. STAFF ATTEND AND EXHIBIT AT CONFERENCES AND MEETINGS IN ORDER TO INCREASE AWARENESS OF BRAIN INJURY IN THE COMMUNITY AND TO SHARE INFORMATION ON LOCAL RESOURCES. EMERGENCY UTILITY BILL ASSISTANCE - BIAC IS ABLE TO HELP SURVIVORS OF A BRAIN INJURY AND FAMILIES FACING LIFE CHANGES AFTER BRAIN INJURY WITH THEIR HEATING AND ELECTRICITY BILLS IF THEY HAVE FALLEN BEHIND IN PAYMENTS. PUBLIC POLICY - BIAC ENGAGES IN STATE AND FEDERAL LEGISLATIVE ADVOCACY TO ENCOURAGE POLICIES THAT IMPROVE THE LIVES OF SURVIVORS OF A BRAIN INJURY. BIAC ALSO WORKS TOWARDS THE ESTABLISHMENT OF AN ORGANIZED SYSTEM OF CARE, WHICH INCLUDES APPROPRIATE SERVICES AND BENEFITS FOR PERSONS WITH BRAIN INJURY. ONLINE RESOURCE DIRECTORY - EXTENSIVE AND UP TO DATE DATABASE OF BRAIN INJURY RELATED PROVIDERS AVAILABLE FOR PUBLIC ACCESS ON OUR WEBSITE. THIS IS THE MOST COMPREHENSIVE RESOURCE DIRECTORY ON COLORADO BASED BRAIN INJURY PROVIDERS IN THE STATE. SUPPORT GROUPS - OVER 80 STATE-WIDE SUPPORT GROUPS MEET ON A REGULAR BASIS FOR UNDERSTANDING MORE ABOUT BRAIN INJURY, LEARNING ABOUT RESOURCES IN THEIR COMMUNITY, EMOTIONAL HEALING, SOCIALIZATION, AN OPPORTUNITY TO BE UNDERSTOOD AND TO EXPRESS ONESELF, AND EXPLORING COMMON NEEDS AND STRENGTHS. RECREATION AND SOCIAL PROGRAMS - WE OFFER MULTI-DAY PROGRAMS, ONE-DAY RECREATION PROGRAMS, AND NUMEROUS SOCIAL EVENTS. PARTICIPANTS EXPERIENCE THE BEST OF COLORADO WITH CARING, PROFESSIONAL, AND HIGHLY EXPERIENCED STAFF. THE ACTIVITIES INCLUDE HIKING, CLIMBING, A ROPES COURSE, CYCLING, RAFTING, AND SOCIAL GATHERINGS AND OUTINGS. WINTER ACTIVITIES INCLUDE SKIING, SNOWBOARDING, TUBING, AND ICE FISHING. PEER MENTORSHIP - THE PROGRAM IS DESIGNED TO SUPPORT SURVIVORS EXPLORE RESILIENCY, DEFINE WHAT IT MEANS TO THRIVE, AND THEN TO TAKE STEPS IN THIS DIRECTION. THE PROGRAM SPANS UP TO A YEAR IN DURATION, WITH WEEKLY PHONE OR VIDEO CONFERENCE CONTACTS, AND IF POSSIBLE, A MONTHLY COMMUNITY ACTIVITY (DEPENDENT UPON PROXIMITY, TRANSPORTATION AND PERSONAL BUDGETS). |
| FORM 990, PAGE 2, PART III, LINE 4D | CONFERENCE/SYMPOSIUM - ANNUAL CONFERENCE/SYMPOSIUM THAT FEATURES SOME OF THE MOST WELL-KNOWN BRAIN INJURY EXPERTS IN THE US. PRESENTATIONS ARE CUTTING-EDGE AND FEATURE UP TO DATE RESEARCH AND TREATMENT PROTOCOLS. |
| FORM 990, PAGE 6, PART VI, LINE 6 | MEMBERS |
| FORM 990, PAGE 6, PART VI, LINE 11B | DRAFT IS CIRCULATED TO ALL BOARD MEMBERS. REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | REVIEWED IN DETAIL ANNUALLY WITH FULL BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | CHIEF EXECUTIVE OFFICER (OFFICER) - COMPENSATION DETERMINED BY EXECUTIVE COMMITTEE OF BOARD OF DIRECTORS BASED ON MERIT, ANNUAL OPERATING BUDGET AND COMPARISON TO DATA COMPILED FROM MOUNTAIN STATES EMPLOYEE COUNCIL SALARY REPORTS. (REVIEWED ANNUALLY) |
| FORM 990, PAGE 6, PART VI, LINE 15B | STAFF DIRECTORS AND MANAGERS - COMPENSATION DETERMINED BY EXECUTIVE DIRECTOR AND EXECUTIVE COMMITTEE OF BOARD OF DIRECTORS BASED ON MERIT, ANNUAL OPERATING BUDGET AND COMPARISON TO DATA COMPILED FROM MOUNTAIN STATES EMPLOYEE COUNCIL SALARY REPORTS. (REVIEWED ANNUALLY) |
| FORM 990, PAGE 6, PART VI, LINE 19 | FURNISHED UPON RECEIPT OF WRITTEN REQUEST AND A NOMINAL FEE TO COVER THE COSTS OF COPYING AND POSTAGE. |
| Software ID: | |
| Software Version: |