TY 2021 Form 990

- TIN:

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

ELIZABETH H FAULK FOUNDATION INC

Employer identification number

23-7153172

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

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)		(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.") ..	302,229	485,862	799,068	708,250	646,905	2,942,314
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	302,229	485,862	799,068	708,250	646,905	2,942,314
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) ..						606,056
6	Public support. Subtract line 5 from line 4.						2,336,258

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..	302,229	485,862	799,068	708,250	646,905	2,942,314
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	131,250	177,574	156,766	133,071	236,404	835,065
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						3,777,379

Gross receipts from related activities, etc. (see instructions) ..................

1,181,079

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

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

61.850 %

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

59.420 %

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

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)		(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)		(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.)..

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

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described on 11a above?

11b

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

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

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.

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.

Parent of Supported Organizations. Answer lines 3a and 3b below.

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.

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.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

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:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

ELIZABETH H FAULK FOUNDATION INC

Employer identification number

23-7153172

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 ELIZABETH H FAULK FOUNDATION INC

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	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)

Schedule B (Form 990) (2021)

Page 3

Name of organization ELIZABETH H FAULK FOUNDATION INC		Employer identification number 23-7153172

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 ELIZABETH H FAULK FOUNDATION INC			Employer identification number 23-7153172
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.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

ELIZABETH H FAULK FOUNDATION INC

Employer identification number

23-7153172

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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.

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.

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

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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 ....	10,838,545	7,958,359	8,287,370	8,084,809	7,749,717
b	Contributions ...		1,157,595	180,115		324,665
c	Net investment earnings, gains, and losses	-1,031,862	2,097,591	-135,182	466,230	546,704
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	383,904	375,000	373,944	263,669	536,277
f	Administrative expenses ....
g	End of year balance ......	9,422,779	10,838,545	7,958,359	8,287,370	8,084,809

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

100.000 %

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

Yes

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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 .....	201,743		201,743
b	Buildings ....	1,614,996	1,451,284	163,712
c	Leasehold improvements
d	Equipment ....	97,771	74,145	23,626
e	Other .....	31,521	25,771	5,750
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				394,831

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.)

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.)

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.)...........

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.)
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

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	345,202
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-1,789,552
b	Donated services and use of facilities .........	2b	472,695
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	-1,316,857
3	Subtract line 2e from line 1..................			3	1,662,059
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
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,662,059

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	1,753,278
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	472,695
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e	472,695
3	Subtract line 2e from line 1...................			3	1,280,583
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
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,280,583

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

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

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

ELIZABETH H FAULK FOUNDATION INC

Employer identification number

23-7153172

Return Reference	Explanation
FORM 990, PAGE 2, PART III, LINE 4A	ADULT MENTAL HEALTH SERVICES: THE FAULK CENTER FOR COUNSELING PROVIDES LOW-COST/NO-COST INDIVIDUAL, COUPLE, AND FAMILY COUNSELING SERVICES TO ADULT CLIENTS 18 YEARS OR OLDER WITH A SPECIFIC FOCUS ON ECONOMICALLY- DISADVANTAGED, UNDERSERVED, UNINSURED, AND UNDERINSURED INDIVIDUALS WHO OTHERWISE WOULD BE UNABLE TO AFFORD SERVICES. CLIENTS WORK WITH A TRAINED MENTAL HEALTH CLINICIAN IN A SAFE, CARING, AND CONFIDENTIAL ENVIRONMENT TO FREELY EXPLORE THEIR FEELINGS, BELIEFS, AND BEHAVIORS SO THEY CAN IDENTIFY AND WORK THROUGH ASPECTS OF THEIR LIVES WHERE CHANGE IS DESIRED. INDIVIDUAL COUNSELING SERVICES FOR ADULTS ARE FURTHER SUPPLEMENTED WITH TARGETED, WEEKLY GROUP COUNSELING AND SUPPORT GROUPS TO FURTHER REDUCE ISOLATION, RECEIVE PEER SUPPORT, AND COLLECTIVELY HEAL. IN FY21/22, 414 UNDUPLICATED CLIENTS RECEIVED 7,302 HOURS OF ADULT MENTAL HEALTH SERVICES.
FORM 990, PAGE 2, PART III, LINE 4B	CHILDREN, ADOLESCENTS, AND FAMILY MENTAL HEALTH SERVICES: THE FAULK CENTER FOR COUNSELING PROVIDES LOW-COST/NO-COST COUNSELING SERVICES TO CHILDREN AND ADOLESCENTS BETWEEN THE AGES OF 5-17 WITH A SPECIFIC FOCUS ON STUDENTS WHO EXPERIENCED ADVERSE CHILDHOOD EXPERIENCES, STRUGGLE WITH SCHOOL, PEER, AND OTHER LIFE-RELATED STRESSORS, AND/OR HAVE DIFFICULTY REGULATING THEIR INTERNAL EXPERIENCES. STUDENTS WORK WITH A TRAINED MENTAL HEALTH CLINICIAN IN A SAFE, CARING, AND AGE-APPROPRIATE ENVIRONMENT TO 1.) BETTER UNDERSTAND AND WORK THROUGH UNPLEASANT EMOTIONS, INCREASE OPPORTUNITIES FOR MORE POSITIVE FEELINGS, AS WELL AS LEARN MORE EFFECTIVE WAYS TO EXPRESS THEIR NEEDS; 2.) LEARN COPING TECHNIQUES, MINDFULNESS SKILLS AND OTHER HELPFUL STRATEGIES THAT PROMOTE ADAPTIVE BEHAVIORS THAT ARE ALIGNED WITH VALUES AND, 3.) IMPROVE PROBLEM SOLVING AS WELL AS STRENGTHEN SELF-ESTEEM AND SELF-EFFICACY IN ORDER TO EFFECTIVELY FACE AND NAVIGATE CHALLENGING CIRCUMSTANCES, DIFFICULT RELATIONSHIPS, AND OTHER SOURCES OF TOXIC STRESS AS THEY ARISE. COUNSELING SERVICES FOR CHILDREN AND ADOLESCENTS ARE FURTHER SUPPLEMENTED WITH TARGETED, WEEKLY GROUP COUNSELING AND DISCUSSION GROUPS TO FURTHER REDUCE ISOLATION, RECEIVE PEER SUPPORT, AND COLLECTIVELY HEAL. IN FY21/22, 199 UNDUPLICATED CLIENTS RECEIVED 2,757 HOURS OF CHILDREN, ADOLESCENTS, AND FAMILY MENTAL HEALTH SERVICES.
FORM 990, PAGE 2, PART III, LINE 4C	SCHOOLS PREVENTATIVE MENTAL HEALTH SERVICES: THE FAULK CENTER FOR COUNSELING'S SCHOOLS PREVENTIVE PROGRAM IS A COLLABORATIVE EFFORT WITH PARTNERING ELEMENTARY AND MIDDLE PUBLIC SCHOOLS IN PALM BEACH COUNTY TO PROVIDE WEEKLY ONSITE MENTAL HEALTH GROUP COUNSELING TO HIGH NEED/AT-RISK STUDENTS AS RECOMMENDED BY PARENTS OR PARENTAL CAREGIVERS, TEACHERS, AND/OR SCHOOL GUIDANCE COUNSELORS. DURING GROUP COUNSELING SESSIONS, THE CLINICIAN GUIDES DISCUSSION SO THAT THE STUDENT OBTAINS A BETTER UNDERSTANDING OF THEMSELVES AND THEIR SITUATION THROUGH PROCESS-BASED/ROLE-PLAYING CONVERSATIONS, GOAL SETTING, AND SUPPORT. THE APPROACH USED BY THE CLINICIAN CAN VARY DEPENDING ON WHETHER THE ISSUES BEING ADDRESSED ARE PRESENTED AS DISRUPTIVE OR RISKY BEHAVIORS (AGGRESSION, BULLYING, TRUANCY, NON-COMPLIANCE, SELF-HARM, DRUG USE), EMOTIONAL/SOCIAL IMPAIRMENTS (DEPRESSION, ANXIETY, TRAUMA, DYSFUNCTIONAL RELATIONSHIPS, INEFFECTIVE COMMUNICATION), OR A COMBINATION OF BOTH. REGARDLESS OF THE INTERVENTION, THE GOAL REMAINS THE SAME: TO EFFECTUATE POSITIVE CHANGE, GROWTH, AND HEALING FOR THE STUDENT THAT IS STRUGGLING. IN FY21/22, 210 UNDUPLICATED STUDENTS RECEIVED 1,524 HOURS OF GROUP COUNSELING SERVICES THROUGH THE SCHOOLS PREVENTATIVE PROGRAM.
FORM 990, PAGE 2, PART III, LINE 4D	SENIOR SERVICES: THE FAULK CENTER FOR COUNSELING PROVIDES TARGETED MENTAL HEALTH SERVICES TO SENIORS AGES 60 AND OLDER IN PALM BEACH AND BROWARD COUNTY, WITH A FOCUS ON THOSE WITH THE GREATEST ECONOMIC AND/OR SOCIAL NEED. MENTAL HEALTH SERVICES INCLUDE WEEKLY SUPPORT GROUPS CONDUCTED AT PARTNERING SENIOR RESIDENCES AND SENIOR COMMUNITY CENTERS AND/OR THROUGH WEEKLY CLINICIAN-INITIATED PHONE CALLS TO ENROLLED OLDER ADULTS LIVING IN PALM BEACH AND BROWARD COUNTIES. THESE SERVICES ENABLE ELDERLY CLIENTS TO AVOID THE NEGATIVE PSYCHOSOCIAL EFFECTS OF ISOLATION AND PROVIDES A MEANS TO PRESERVE AND ENHANCE THE CLIENT'S COGNITIVE ABILITIES, PHYSICAL HEALTH, AND INDEPENDENCE THROUGH SOCIAL INTERACTION AND SUPPORT. IN FY21/22, 169 UNDUPLICATED CLIENTS RECEIVED 1600 HOURS OF MENTAL HEALTH SUPPORTIVE SERVICES THROUGH OUR SENIOR SERVICE PROGRAMS. CO-LOCATED MENTAL HEALTH SERVICES: IN PARTNERSHIP WITH THE PALM BEACH COUNTY SCHOOL DISTRICT, THE FAULK CENTER FOR COUNSELING SUPPLEMENTS THE WORK OF, AND INCREASES ACCESS TO, SCHOOL-BASED MENTAL HEALTH CARE THROUGH THE PLACEMENT OF CO-LOCATED MENTAL HEALTH PROFESSIONALS IN PALM BEACH COUNTY SCHOOLS. FAULK CENTER FOR COUNSELING CO-LOCATED MENTAL HEALTH PROFESSIONALS ARE CREDENTIALED PROFESSIONALS WHO MEET STATE LICENSURE REQUIREMENTS. THESE CLINICIANS ARE SUPERVISED BY THE FAULK CENTER FOR COUNSELING AND OPERATE IN ALIGNMENT WITH SCHOOL TEAMS, POLICIES, AND PROCEDURES. THESE CLINICIANS PROVIDE INTENSIVE, INDIVIDUAL SUPPORTS, DELIVERING EVIDENCE-BASED MENTAL HEALTH CARE ASSESSMENT, DIAGNOSIS, INTERVENTION, TREATMENT, AND RECOVERY SERVICES TO STUDENTS IDENTIFIED AS HAVING SIGNIFICANT EMOTIONAL OR BEHAVIORAL CHALLENGES THAT NEGATIVELY IMPACT THEIR SCHOOL SUCCESS AND/OR OVERALL FUNCTIONING. IN FY21/22, 296 UNDUPLICATED STUDENTS RECEIVED 1,054 HOURS OF COUNSELING SERVICES THROUGH THE CO-LOCATED MENTAL HEALTH SERVICES. PSYCHOLOGICAL TESTING: THE FAULK CENTER FOR COUNSELING PROVIDES LOW-COST PSYCHOLOGICAL TESTING SERVICES TO CLIENTS TO ASSESS THE CAUSE OF MENTAL HEALTH SYMPTOMS AND DISORDERS, TO DETERMINE THE CORRECT DIAGNOSIS, AND TO FOLLOW UP WITH THE APPROPRIATE COURSE OF TREATMENT. THE FAULK CENTER FOR COUNSELING PROVIDES PSYCHOEDUCATIONAL AND PSYCHOLOGICAL TESTING FOR BOTH CHILDREN AND ADULTS TO ADDRESS LEARNING DISABILITIES, GIFTEDNESS, BEHAVIOR PROBLEMS, DEPRESSION, ANXIETY, PERSONALITY DISORDERS, AND OTHER MENTAL HEALTH DISORDERS. IN FY21/22, 30 UNDUPLICATED CLIENTS RECEIVED 106 HOURS OF PSYCHOLOGICAL TESTING. EDUCATION: THE FAULK CENTER FOR COUNSELING REGULARLY FACILITATES AND ACTIVELY PROMOTES EDUCATIONAL AND AWARENESS OPPORTUNITIES, BOTH INTERNALLY AND IN COOPERATION WITH COMMUNITY PARTNERS, FOR BOTH MENTAL HEALTH PROFESSIONALS AND THE GENERAL PUBLIC. THE GOALS OF THE FAULK CENTER FOR COUNSELING'S EDUCATION AND OUTREACH EFFORTS ARE TO REDUCE THE MISCONCEPTIONS AND STIGMA ASSOCIATED WITH MENTAL HEALTH, ENCOURAGE AND SUPPORT THOSE WHO ARE SUFFERING WITH MENTAL HEALTH CHALLENGES, AND TO ENSURE MENTAL HEALTH NEEDS ARE BEING ADEQUATELY ADDRESSED THROUGH ACCESSIBLE AND AVAILABLE RESOURCES BOTH INTERNALLY AND EXTERNALLY. REGULAR EDUCATIONAL OPPORTUNITIES OFFERED BY THE FAULK CENTER FOR COUNSELING INCLUDE OUR FACILITATOR TRAINING COURSE AND OUR MONTHLY FIRST WEDNESDAY MENTAL HEALTH LECTURE SERIES. IN FY21/22, 750 UNDUPLICATED PARTICIPANTS BENEFITTED FROM 2,750 HOURS OF EDUCATION AND AWARENESS ACTIVITIES.
FORM 990, PAGE 6, PART VI, LINE 11B	ALL BOARD MEMBERS REVIEW FORM 990 AT BOARD MEETING AND AN ELECTRONIC VERSION IS ALSO SENT FOR REVIEW.
FORM 990, PAGE 6, PART VI, LINE 12C	POLICY IS REVIEWED AND DISCUSSED BY BOARD MEMBERS AND EMPLOYEES AT MEETINGS AND ANY POSSIBLE CONFLICTS THAT ARISE ARE REQUIRED TO BE DISCLOSED.
FORM 990, PAGE 6, PART VI, LINE 15A	COMPARE JOB DESCRIPTIONS WITH OTHER SIMILAR NON-PROFIT ORGANIZATIONS. BASED UPON SALARY RANGE FOR JOB AND PERFORMANCE REVIEW - PROVIDE CHANGES AS REVIEWED BY AND APPROVED BY BOARD.
FORM 990, PAGE 6, PART VI, LINE 19	AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PROFESSIONAL FEES 131,932 420 0

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:

1	Briefly describe the organization’s mission or most significant activities: THE ELIZABETH H. FAULK FOUNDATION, INC. (THE "FOUNDATION") IS A NONPROFIT CORPORATION ORGANIZED TO PROMOTE EMOTIONAL WELL-BEING THROUGH A VARIETY OF FREE AND LOW-COST MENTAL HEALTH PROGRAMS. THE FOUNDATION'S SERVICES ARE PROVIDED THROUGH THE FAULK CENTER FOR COUNSELING. THE FAULK CENTER FOR COUNSELING'S PRIMARY MODEL OF CARE UTILIZES DOCTORAL (PH.D. & PSY.D) INTERNS, GRADUATE STUDENTS, AND VOLUNTEER MENTAL HEALTH PROFESSIONALS TO PROVIDE PERSONALIZED INDIVIDUAL, COUPLE, FAMILY, AND GROUP COUNSELING SERVICES. ALL STUDENTS AND VOLUNTEERS ARE OVERSEEN, MANAGED, AND EVALUATED BY LICENSED CLINICIANS WHO ENSURE SERVICES ALIGN WITH THE AMERICAN PSYCHOLOGICAL ASSOCIATION (APA) EVIDENCE-BASED RECOMMENDATIONS FOR THE ASSESSMENT AND TREATMENT OF PSYCHIATRIC DISORDERS. STUDENTS WHO PROVIDE CLIENT SERVICES COME FROM ACCREDITED UNIVERSITIES AND ARE RIGOROUSLY VETTED AND REGULARLY EVALUATED TO ENSURE THAT THE QUALITY OF SERVICES MEETS OR EXCEEDS THE SERVICES YOU WOULD GET FROM A LICENSED PSYCHOLOGIST
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	13
6	Total number of volunteers (estimate if necessary) .............	6	50
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

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	708,250	646,905
9	Program service revenue (Part VIII, line 2g) .........	221,257	253,238
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	476,561	757,686
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,107,595	4,230
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,513,663	1,662,059
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	648,943	762,076
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 76,928
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	451,881	518,507
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,100,824	1,280,583
19	Revenue less expenses. Subtract line 18 from line 12.......	1,412,839	381,476
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	11,536,077	10,167,484
21	Total liabilities (Part X, line 26).............	45,497	84,980
22	Net assets or fund balances. Subtract line 21 from line 20.....	11,490,580	10,082,504

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 236,829 including grants of $ ) (Revenue $ 202,638 )
	ADULT MENTAL HEALTH SERVICES: THE FAULK CENTER FOR COUNSELING PROVIDES LOW-COST/NO-COST INDIVIDUAL, COUPLE, AND FAMILY COUNSELING SERVICES TO ADULT CLIENTS 18 YEARS OR OLDER WITH A SPECIFIC FOCUS ON ECONOMICALLY- DISADVANTAGED, UNDERSERVED, UNINSURED, AND UNDERINSURED INDIVIDUALS WHO OTHERWISE WOULD BE UNABLE TO AFFORD SERVICES. CLIENTS WORK WITH A TRAINED MENTAL HEALTH CLINICIAN IN A SAFE, CARING, AND CONFIDENTIAL ENVIRONMENT TO FREELY EXPLORE THEIR FEELINGS, BELIEFS, AND BEHAVIORS SO THEY CAN IDENTIFY AND WORK THROUGH ASPECTS OF THEIR LIVES WHERE CHANGE IS DESIRED. INDIVIDUAL COUNSELING SERVICES FOR ADULTS ARE FURTHER SUPPLEMENTED WITH TARGETED, WEEKLY GROUP COUNSELING AND SUPPORT GROUPS TO FURTHER REDUCE ISOLATION, RECEIVE PEER SUPPORT, AND COLLECTIVELY HEAL. IN FY21/22, 414 UNDUPLICATED CLIENTS RECEIVED 7,302 HOURS OF ADULT MENTAL HEALTH SERVICES.

4b	(Code: ) (Expenses $ 207,386 including grants of $ ) (Revenue $ 50,600 )
	CHILDREN, ADOLESCENTS, AND FAMILY MENTAL HEALTH SERVICES: THE FAULK CENTER FOR COUNSELING PROVIDES LOW-COST/NO-COST COUNSELING SERVICES TO CHILDREN AND ADOLESCENTS BETWEEN THE AGES OF 5-17 WITH A SPECIFIC FOCUS ON STUDENTS WHO EXPERIENCED ADVERSE CHILDHOOD EXPERIENCES, STRUGGLE WITH SCHOOL, PEER, AND OTHER LIFE-RELATED STRESSORS, AND/OR HAVE DIFFICULTY REGULATING THEIR INTERNAL EXPERIENCES. STUDENTS WORK WITH A TRAINED MENTAL HEALTH CLINICIAN IN A SAFE, CARING, AND AGE-APPROPRIATE ENVIRONMENT TO 1.) BETTER UNDERSTAND AND WORK THROUGH UNPLEASANT EMOTIONS, INCREASE OPPORTUNITIES FOR MORE POSITIVE FEELINGS, AS WELL AS LEARN MORE EFFECTIVE WAYS TO EXPRESS THEIR NEEDS; 2.) LEARN COPING TECHNIQUES, MINDFULNESS SKILLS AND OTHER HELPFUL STRATEGIES THAT PROMOTE ADAPTIVE BEHAVIORS THAT ARE ALIGNED WITH VALUES AND, 3.) IMPROVE PROBLEM SOLVING AS WELL AS STRENGTHEN SELF-ESTEEM AND SELF-EFFICACY IN ORDER TO EFFECTIVELY FACE AND NAVIGATE CHALLENGING CIRCUMSTANCES, DIFFICULT RELATIONSHIPS, AND OTHER SOURCES OF TOXIC STRESS AS THEY ARISE. COUNSELING SERVICES FOR CHILDREN AND ADOLESCENTS ARE FURTHER SUPPLEMENTED WITH TARGETED, WEEKLY GROUP COUNSELING AND DISCUSSION GROUPS TO FURTHER REDUCE ISOLATION, RECEIVE PEER SUPPORT, AND COLLECTIVELY HEAL. IN FY21/22, 199 UNDUPLICATED CLIENTS RECEIVED 2,757 HOURS OF CHILDREN, ADOLESCENTS, AND FAMILY MENTAL HEALTH SERVICES.

4c	(Code: ) (Expenses $ 153,862 including grants of $ ) (Revenue $ )
	SCHOOLS PREVENTATIVE MENTAL HEALTH SERVICES: THE FAULK CENTER FOR COUNSELING'S SCHOOLS PREVENTIVE PROGRAM IS A COLLABORATIVE EFFORT WITH PARTNERING ELEMENTARY AND MIDDLE PUBLIC SCHOOLS IN PALM BEACH COUNTY TO PROVIDE WEEKLY ONSITE MENTAL HEALTH GROUP COUNSELING TO HIGH NEED/AT-RISK STUDENTS AS RECOMMENDED BY PARENTS OR PARENTAL CAREGIVERS, TEACHERS, AND/OR SCHOOL GUIDANCE COUNSELORS. DURING GROUP COUNSELING SESSIONS, THE CLINICIAN GUIDES DISCUSSION SO THAT THE STUDENT OBTAINS A BETTER UNDERSTANDING OF THEMSELVES AND THEIR SITUATION THROUGH PROCESS-BASED/ROLE-PLAYING CONVERSATIONS, GOAL SETTING, AND SUPPORT. THE APPROACH USED BY THE CLINICIAN CAN VARY DEPENDING ON WHETHER THE ISSUES BEING ADDRESSED ARE PRESENTED AS DISRUPTIVE OR RISKY BEHAVIORS (AGGRESSION, BULLYING, TRUANCY, NON-COMPLIANCE, SELF-HARM, DRUG USE), EMOTIONAL/SOCIAL IMPAIRMENTS (DEPRESSION, ANXIETY, TRAUMA, DYSFUNCTIONAL RELATIONSHIPS, INEFFECTIVE COMMUNICATION), OR A COMBINATION OF BOTH. REGARDLESS OF THE INTERVENTION, THE GOAL REMAINS THE SAME: TO EFFECTUATE POSITIVE CHANGE, GROWTH, AND HEALING FOR THE STUDENT THAT IS STRUGGLING. IN FY21/22, 210 UNDUPLICATED STUDENTS RECEIVED 1,524 HOURS OF GROUP COUNSELING SERVICES THROUGH THE SCHOOLS PREVENTATIVE PROGRAM.

	(Code: ) (Expenses $ 467,575 including grants of $ ) (Revenue $ )
	SENIOR SERVICES: THE FAULK CENTER FOR COUNSELING PROVIDES TARGETED MENTAL HEALTH SERVICES TO SENIORS AGES 60 AND OLDER IN PALM BEACH AND BROWARD COUNTY, WITH A FOCUS ON THOSE WITH THE GREATEST ECONOMIC AND/OR SOCIAL NEED. MENTAL HEALTH SERVICES INCLUDE WEEKLY SUPPORT GROUPS CONDUCTED AT PARTNERING SENIOR RESIDENCES AND SENIOR COMMUNITY CENTERS AND/OR THROUGH WEEKLY CLINICIAN-INITIATED PHONE CALLS TO ENROLLED OLDER ADULTS LIVING IN PALM BEACH AND BROWARD COUNTIES. THESE SERVICES ENABLE ELDERLY CLIENTS TO AVOID THE NEGATIVE PSYCHOSOCIAL EFFECTS OF ISOLATION AND PROVIDES A MEANS TO PRESERVE AND ENHANCE THE CLIENT'S COGNITIVE ABILITIES, PHYSICAL HEALTH, AND INDEPENDENCE THROUGH SOCIAL INTERACTION AND SUPPORT. IN FY21/22, 169 UNDUPLICATED CLIENTS RECEIVED 1600 HOURS OF MENTAL HEALTH SUPPORTIVE SERVICES THROUGH OUR SENIOR SERVICE PROGRAMS. CO-LOCATED MENTAL HEALTH SERVICES: IN PARTNERSHIP WITH THE PALM BEACH COUNTY SCHOOL DISTRICT, THE FAULK CENTER FOR COUNSELING SUPPLEMENTS THE WORK OF, AND INCREASES ACCESS TO, SCHOOL-BASED MENTAL HEALTH CARE THROUGH THE PLACEMENT OF CO-LOCATED MENTAL HEALTH PROFESSIONALS IN PALM BEACH COUNTY SCHOOLS. FAULK CENTER FOR COUNSELING CO-LOCATED MENTAL HEALTH PROFESSIONALS ARE CREDENTIALED PROFESSIONALS WHO MEET STATE LICENSURE REQUIREMENTS. THESE CLINICIANS ARE SUPERVISED BY THE FAULK CENTER FOR COUNSELING AND OPERATE IN ALIGNMENT WITH SCHOOL TEAMS, POLICIES, AND PROCEDURES. THESE CLINICIANS PROVIDE INTENSIVE, INDIVIDUAL SUPPORTS, DELIVERING EVIDENCE-BASED MENTAL HEALTH CARE ASSESSMENT, DIAGNOSIS, INTERVENTION, TREATMENT, AND RECOVERY SERVICES TO STUDENTS IDENTIFIED AS HAVING SIGNIFICANT EMOTIONAL OR BEHAVIORAL CHALLENGES THAT NEGATIVELY IMPACT THEIR SCHOOL SUCCESS AND/OR OVERALL FUNCTIONING. IN FY21/22, 296 UNDUPLICATED STUDENTS RECEIVED 1,054 HOURS OF COUNSELING SERVICES THROUGH THE CO-LOCATED MENTAL HEALTH SERVICES. PSYCHOLOGICAL TESTING: THE FAULK CENTER FOR COUNSELING PROVIDES LOW-COST PSYCHOLOGICAL TESTING SERVICES TO CLIENTS TO ASSESS THE CAUSE OF MENTAL HEALTH SYMPTOMS AND DISORDERS, TO DETERMINE THE CORRECT DIAGNOSIS, AND TO FOLLOW UP WITH THE APPROPRIATE COURSE OF TREATMENT. THE FAULK CENTER FOR COUNSELING PROVIDES PSYCHOEDUCATIONAL AND PSYCHOLOGICAL TESTING FOR BOTH CHILDREN AND ADULTS TO ADDRESS LEARNING DISABILITIES, GIFTEDNESS, BEHAVIOR PROBLEMS, DEPRESSION, ANXIETY, PERSONALITY DISORDERS, AND OTHER MENTAL HEALTH DISORDERS. IN FY21/22, 30 UNDUPLICATED CLIENTS RECEIVED 106 HOURS OF PSYCHOLOGICAL TESTING. EDUCATION: THE FAULK CENTER FOR COUNSELING REGULARLY FACILITATES AND ACTIVELY PROMOTES EDUCATIONAL AND AWARENESS OPPORTUNITIES, BOTH INTERNALLY AND IN COOPERATION WITH COMMUNITY PARTNERS, FOR BOTH MENTAL HEALTH PROFESSIONALS AND THE GENERAL PUBLIC. THE GOALS OF THE FAULK CENTER FOR COUNSELING'S EDUCATION AND OUTREACH EFFORTS ARE TO REDUCE THE MISCONCEPTIONS AND STIGMA ASSOCIATED WITH MENTAL HEALTH, ENCOURAGE AND SUPPORT THOSE WHO ARE SUFFERING WITH MENTAL HEALTH CHALLENGES, AND TO ENSURE MENTAL HEALTH NEEDS ARE BEING ADEQUATELY ADDRESSED THROUGH ACCESSIBLE AND AVAILABLE RESOURCES BOTH INTERNALLY AND EXTERNALLY. REGULAR EDUCATIONAL OPPORTUNITIES OFFERED BY THE FAULK CENTER FOR COUNSELING INCLUDE OUR FACILITATOR TRAINING COURSE AND OUR MONTHLY FIRST WEDNESDAY MENTAL HEALTH LECTURE SERIES. IN FY21/22, 750 UNDUPLICATED PARTICIPANTS BENEFITTED FROM 2,750 HOURS OF EDUCATION AND AWARENESS ACTIVITIES.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 467,575 including grants of $ ) (Revenue $ )
4e	Total program service expenses1,065,652

(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
(A) Name and title
(1) GWENESIA S COLLINS PHARMD CPH...................................................................... PRESIDENT	2.00 .................	X	X		0	0	0
(2) LOIS WEISMAN...................................................................... VICE PRESIDE	2.00 .................	X	X		0	0	0
(3) CINDY WINTER...................................................................... TREASURER	2.00 .................	X	X		0	0	0
(4) GENNA BRISSON LCSW...................................................................... SECRETARY	2.00 .................	X	X		0	0	0
(5) GARY S BETENSKY ESQ...................................................................... TRUSTEE	2.00 .................	X			0	0	0
(6) JEFFREY S BOVARNICK ESQ...................................................................... TRUSTEE	2.00 .................	X			0	0	0
(7) LAURIE DUBOW CDPE REOS CLHMS...................................................................... TRUSTEE	2.00 .................	X			0	0	0
(8) SCOTT L GARBER CPA...................................................................... TRUSTEE	2.00 .................	X			0	0	0
(9) BILL HARPER...................................................................... TRUSTEE	2.00 .................	X			0	0	0
(10) JONATHAN PRICE...................................................................... CEO	40.00 .................		X		123,604	0	5,114
(11) DR HOLLY KATZ...................................................................... CLINICAL&TRA	40.00 .................			X	129,954	0	4,924

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	253,558	10,038

(A) Name and business address	(B) Description of services	(C) Compensation





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

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	195,468

f	All other contributions, gifts, grants, and similar amounts not included above		1f	451,437

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		646,905

		Business Code
2a	CLIENT FEES	624100	253,238	253,238
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		253,238

3 Investment income (including dividends, interest, and othersimilar amounts) ......			236,404			236,404
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(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).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		4,755,085	7a
b	Less: cost or other basis and sales expenses		4,233,803	7b
c	Gain or (loss)		521,282	7c
d	Net gain or (loss).........			521,282			521,282
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..
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..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	OTHER		624100	4,230	4,230
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,230
12	Total revenue. See instructions.....			1,662,059	257,468		757,686

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
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 ...........	127,850	76,710	31,962	19,178
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........	520,440	465,260	24,634	30,546
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	23,441	19,597	2,046	1,798
9	Other employee benefits .......	45,811	38,901	3,678	3,232
10	Payroll taxes ...........	44,534	37,230	3,888	3,416
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	22,332		22,332
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	132,352	131,932	420
12	Advertising and promotion ....	2,820	2,115	282	423
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	6,800	6,800
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	17,128	15,072	1,713	343
23	Insurance ...	46,333	40,773	4,633	927
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	STIPEND	85,280	85,280
b	SUPPLIES	75,915	44,884	25,221	5,810
c	REPAIRS AND MAINTENANCE	58,523	51,501	5,852	1,170
d	UTILITIES	17,967	15,811	1,797	359
e	All other expenses	53,057	33,786	9,545	9,726
25	Total functional expenses. Add lines 1 through 24e	1,280,583	1,065,652	138,003	76,928
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			191,805	1	278,902
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			70,420	4	53,515
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 ............				8
9	Prepaid expenses and deferred charges ......			38,743	9	17,457
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,946,031
b	Less: accumulated depreciation	10b	1,551,200	396,564	10c	394,831
11	Investments—publicly traded securities .			10,838,545	11	9,422,779
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 ...........				15
16	Total assets. Add lines 1 through 15 (must equal line 33)...			11,536,077	16	10,167,484

17	Accounts payable and accrued expenses .....	45,497	17	84,980
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		25
26	Total liabilities. Add lines 17 through 25..	45,497	26	84,980

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	11,217,712	27	9,738,511
28	Net assets with donor restrictions ...........	272,868	28	343,993
	Organizations that do not follow FASB ASC 958, check here 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 ...........	11,490,580	32	10,082,504
33	Total liabilities and net assets/fund balances ........	11,536,077	33	10,167,484