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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 148,341 | 148,341 | ||||
| 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 | 3,729 | 3,729 | ||||
| 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 | 152,070 | 152,070 | ||||
| 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.) | 152,070 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 152,070 | 152,070 | ||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2 | 2 | ||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 2 | 2 | ||||
| 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.).. | 0 | 0 | 0 | 0 | 152,072 | 152,072 |
| 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): |
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| 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 2022 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-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| 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 |
|---|---|
| Schedule O: | Part 1.10-GRANTS PAID____________________________________________________________________________________________________________________________________ Grant #1003 for $3500.00 on 6/10/22 to Peter Vischio and Donna Eggum 3 Buffalo Meadow Lane Palm Coast, FL 32137_____________________________________________________ Grant #1004 for $2600 on 6/22/22 & Grant #1006 for $1700 on 7/14/22 to Jaclyn and Mikeal Wall 2610 N. Airmen Ave. Layton, UT 84040______________________________________ Grant #1005 for $2500 on 6/22/22 to Susan Long 6379 Antioch Ave Keystone Heights, FL 32656_______________________________________________________________________ Grant #1008 for $2500 on 7/20/22 to Christopher Sarvello 3404 S Hackberry Lane Magna, UT 84044____________________________________________________________________ Grant #1009 for $2500 on 7/20/22 to Karen & David Bockman 15870 Avenue 309 Visalia, CA 93292_____________________________________________________________________ Grant #1010 for $3300 on 8/12/22 to McKenzie Rivenburgh & Ethan Schilde 124 Maria Drive Middleburgh, NY 12122_________________________________________________________ Grant #1011 for $5000 on 8/12/22 to Robert & Jeanne Barnard 5886 Townline Rd. Sturgeon Bay, WI 54235________________________________________________________________ Grant #1012 for $2500 on 8/19/22 & Grant #1027 for $2500 on 10/26/22 to Wayne & Tracey Lumgair 29241 Crescent Ridge Dr. Lake Elsinore, CA 92530___________________________ Grant #1013 for $2500 on 8/25/22 to Olivia Pineda-Castaneda 2767 Morning Breeze Drive Elko, NV 89801________________________________________________________________ Grant #1014 for $2500 on 9/22/22 Grant #1028 for $2500 on 10/26/22 to Samson & Victoria Adeniji 1335 S. Newkirk Street Philadelphia, PA 19146_______________________________ Grant # 1015 for $3500 on 9/22/22 to Rebecca & Brent Kress 10300 Kalen Lane NE Hanover, MN 55341___________________________________________________________________ Grant #1016 for $3500 on 9/22/22 to Mike & Sara Ratliff 2449 Briarton Dr. Lincoln, CA 95648___________________________________________________________________________ Grant #1017 for $2500 on 9/22/22 to Jack & Patti Waddell 2334 Horseshoe Rd Westfield NC 27053______________________________________________________________________ Grant #1018 for $2500 on 9/22/22 to Ken & Connie Gould 2317 County Road 8 Oswego, NY 13126_______________________________________________________________________ Grant #1019 for $1500 on 9/22/22 to Ramkumar & Vinitha Muthukumarasamy 34654 Tabu Terrace Fremont, CA 94555______________________________________________________ Grant #1021 for $2500 on 10/26/22 to Charles & Luciana Lockwood 1312 Oakridge Plantation Rd. Hephzibah, GA 30815______________________________________________________ Grant #1022 for $2500 on 10/26/22 to Daisy Carter 1609 Great Falls Street # 221 McLean, VA 22101______________________________________________________________________ Grant #1023 for $2500 on 10/26/22 to Emma Siers 12909 Church Road Orrville, OH 44667_____________________________________________________________________________ Grant #1024 for $1000 on 10/26/22 to Kerry Camargo 1 Heron Way - Unit B Salisbury, MA 01952________________________________________________________________________ Grant #1025 for $2000 on 10/26/22 & Grant #1038 for $1500 on 12/19/22 to Mandee Patrick 21 Rosette Street Waterbury, CT 06708___________________________________________ Grant #1026 for $1000 on 10/26/22 to William Wilder 1044 Gravois Rd. Saint Clair, MO 63077___________________________________________________________________________ Grant #1029 for $2500 on 10/26/22 to Domingo Armas 407 Roosevelt Street Athens, TX 75751_________________________________________________________________________ Grant # 1030 for $5000 on 11/17/22 to Brain & Terry Bonneau 17 maple Street Jackson, NJ 08527________________________________________________________________________ Grant #1031 for $1000 on 11/17/22 to Rodney & Carlotta Tyson 5100 S. Highway 301 Bushnell, FL 33513___________________________________________________________________ Grant #1032 for $3000 on 11/17/22 to Bill & Corrine Williams 8870 Avalon Street Alta Loma, CA 91701____________________________________________________________________ Grant #1033 for $3000 on 11/17/22 to Paul Shortridge 426 Cabins Creek Rd. Vass, NC 28394____________________________________________________________________________ Grant #1034 for $3500 on 12/19/22 to Toni & Terry Armalius 44 Peach Street Lone Grove, OK 73443_____________________________________________________________________ Grant #1035 for $3500 on 12/19/22 to Clayton & Anna Burrola 20424 N 7th Street #2082 Phoenix, AZ 85024______________________________________________________________ Grant #1036 for $3500 on 12/19/22 to Jason & Kim Miller 121 Emmas Grove Rd Fletcher, NC 28732_______________________________________________________________________ Grant #1037 for $3500 on 12/19/22 to Brittany Lewis 912 N Hampton Road DeSoto, TX 75115___________________________________________________________________________ ADDITIONAL CONDOLENCE GIFTS SENT AMOUNTING TO $18 FOR GRAND TOTAL OF $91,118 ON LINE 10_______________________________________________________________ ******************************************************************************************************************************************************************************************************************* DETAIL OF OTHER EXPENSES ON LINE 16 ($1190) Bank Fees and Service Charges: $108 Office Supplies: $289 Software Programs & Applications: $793__________________________ ******************************************************************************************************************************************************************************************************************* FURTHER EXPLANATION OF SCHEDULE B LIST OF CONTRIBUTORS: Contributor #5 (Oak Hills Church) collected an offering from attendees of the church and donated that full amount of what was collected Contributor #6 (Variant Investments) allows each of their employees to select an organization to receive a $5000 donation from the company and Kim's Hope was select by one the employees. |
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