TY 2021 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) THOMAS A JAMES...................................................................... CHAIRMAN	.................	X	X
(2) FRANK R CHIVAS...................................................................... VICE CHAIRMA	.................	X	X
(3) JONATHAN ALEXANDER...................................................................... DIRECTOR	.................	X
(4) ROBERT BASHAM...................................................................... DIRECTOR	.................	X
(5) GRIFFITH BRADDOCK...................................................................... DIRECTOR	.................	X
(6) RONALD CIGANEK...................................................................... DIRECTOR	.................	X
(7) SCOTT CURTIS...................................................................... DIRECTOR	.................	X
(8) ROBERT ENCK...................................................................... DIRECTOR	.................	X
(9) GLENN W JONES JR...................................................................... DIRECTOR	.................	X
(10) BILL JOSEY...................................................................... DIRECTOR	.................	X
(11) W ANDREW KRUSEN...................................................................... DIRECTOR	.................	X
(12) BEN LEE...................................................................... DIRECTOR	.................	X
(13) CLAUDE MACARI...................................................................... DIRECTOR	.................	X
(14) JESSICA MAJESKI...................................................................... DIRECTOR	.................	X
(15) JULIE MASTRY...................................................................... DIRECTOR	.................	X
(16) CONRAD A PLIMPTON...................................................................... DIRECTOR	.................	X
(17) PHILLIP POWELL JR...................................................................... DIRECTOR	.................	X

- 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

CHI CHI RODRIGUEZ YOUTH FOUNDATION
INC

Employer identification number

59-2017124

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.") ..
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.

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..
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

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

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)) .........

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

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.") .	861,929	1,895,256	1,070,150	859,005	1,580,037	6,266,377
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	1,436,673	1,756,040	1,964,647	2,419,483	2,850,360	10,427,203
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	304,571	139,183	139,183	139,183	139,183	861,303
6	Total. Add lines 1 through 5	2,603,173	3,790,479	3,173,980	3,417,671	4,569,580	17,554,883
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons	145,806	231,365	265,321	172,068	141,979	956,539
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.	51,418	922,989	7,900	11,312	173,343	1,166,962
c	Add lines 7a and 7b..	197,224	1,154,354	273,221	183,380	315,322	2,123,501
8	Public support. (Subtract line 7c from line 6.)						15,431,382

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...	2,603,173	3,790,479	3,173,980	3,417,671	4,569,580	17,554,883
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	6,116	78,222	32,974	48,266	136,834	302,412
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	6,116	78,222	32,974	48,266	136,834	302,412
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.) ..	86,871	12,701	3,061		11,540	114,173
13	Total support. (Add lines 9, 10c, 11, and 12.)..	2,696,160	3,881,402	3,210,015	3,465,937	4,717,954	17,971,468

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)) .........

85.870 %

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

85.230 %

Section D. Computation of Investment Income Percentage

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

2.000 %

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

1.000 %

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
PART III, LINE 12	114,173
SUPPLEMENTAL INFORMATION	MOST YEARS, OTHER INCOME CONSISTS OF SMALL AMOUNTS CLASSIFIED AS OTHER MISCELLANEOUS INCOME. TAX YEAR 2017 INCLUDED 68,241 OF GAIN ON INSURANCE PROCEEDS.

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

CHI CHI RODRIGUEZ YOUTH FOUNDATION
INC

Employer identification number

59-2017124

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 CHI CHI RODRIGUEZ YOUTH 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 CHI CHI RODRIGUEZ YOUTH FOUNDATION INC		Employer identification number 59-2017124

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 CHI CHI RODRIGUEZ YOUTH FOUNDATION INC			Employer identification number 59-2017124
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

CHI CHI RODRIGUEZ YOUTH FOUNDATION
INC

Employer identification number

59-2017124

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 ....	2,038,023	1,494,135	1,417,227	294,501	231,351
b	Contributions ...	65,970	55,131	50,000	1,081,100	50,000
c	Net investment earnings, gains, and losses	-297,183	491,363	29,419	44,292	15,391
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	2,994	2,606	2,511	2,666	2,241
g	End of year balance ......	1,803,816	2,038,023	1,494,135	1,417,227	294,501

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

Board designated or quasi-endowment SchDMd Bullet

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 .....
b	Buildings ....	1,729,154	1,258,443	470,711
c	Leasehold improvements	4,364,670	3,487,757	876,913
d	Equipment ....	890,169	442,211	447,958
e	Other .....	83,828	73,106	10,722
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,806,304

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) OTHER SECURITIES	1,762,290
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,762,290

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)LAND LEASE RECEIVABLE				1,358,439
(2)CASH SURRENDER VALUE				52,210
(3)DEPOSITS				2,585
(4)LOAN COSTS				1,875
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,415,109

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.)	72,662
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	3,699,198
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-452,962
b	Donated services and use of facilities .........	2b	173,868
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	-279,094
3	Subtract line 2e from line 1..................			3	3,978,292
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	2,994
b	Other (Describe in Part XIII.) ...........	4b	235,500
c	Add lines 4a and 4b....................			4c	238,494
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	4,216,786

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	3,069,549
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	173,868
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e	173,868
3	Subtract line 2e from line 1...................			3	2,895,681
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	2,994
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	2,994
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	2,898,675

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, PAGE 4, PART XI, LINE 4B	PPP LOAN FORGIVEN 7/2/21 235,500 ON AUDITED FINANCIAL STATEMENTS RECOGNIZED IN FYE6/30/20 0

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. 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
CHI CHI RODRIGUEZ YOUTH FOUNDATION
INC

Employer identification number

59-2017124

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990) 2021

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 FIRST TEE PRO A (event type)	(b) Event #2 CHI CHI GOLF CL (event type)	(c) Other events 1 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	325,852	223,983	120,391	670,226
2	Less: Contributions . . . .	325,852	217,553	110,791	654,196
3	Gross income (line 1 minus line 2) . . . . . .		6,430	9,600	16,030

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	79,705	47,589	17,399	144,693
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				144,693
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-128,663

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) 2021

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

CHI CHI RODRIGUEZ YOUTH FOUNDATION
INC

Employer identification number

59-2017124

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		1,055	DONOR PROVIDED
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( ACADEMY STORE )	X	31	33,218	DONOR PROVIDED
26 Other ( EQUIPMENT )	X	19	33,767	DONOR PROVIDED
27 Other ( SUPPLIES )	X	55	61,745	DONOR PROVIDED
28 Other ( OTHER )	X	13	9,604	DONOR PROVIDED

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2021)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (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

CHI CHI RODRIGUEZ YOUTH FOUNDATION
INC

Employer identification number

59-2017124

Return Reference	Explanation
FORM 990, PART III	ADDITIONAL INFORMATION ON PROGRAM SERVICES THE CHI CHI RODRIGUEZ YOUTH FOUNDATION WAS CREATED TO SUPPORT CHI CHI RODRIGUEZ'S VISION OF HELPING AT-RISK YOUTH ACHIEVE ACADEMIC, SOCIAL, AND ECONOMIC SUCCESS BY REMAINING ENGAGED IN THEIR EDUCATION AND ACQUIRING THE PRACTICAL SKILLS TO EXCEL AT THE "GAME OF LIFE." THE CHI CHI RODRIGUEZ YOUTH FOUNDATION IS THE PRINCIPAL OPERATOR OF THE EDUCATIONAL PROGRAMS: THE CHI CHI RODRIGUEZ ACADEMY AND THE FIRST TEE OF CLEARWATER. OUR PROGRAMS ARE GROUNDED IN THE HUMAN FUNDAMENTAL NEEDS OF LOVE AND RESPECT. WE WORK TO BUILD CONFIDENCE, INSTILL DISCIPLINE AND PROVIDE POSITIVE AND ENGAGING EDUCATIONAL EXPERIENCES. A UNIQUE FORUM WAS CHOSEN TO ACHIEVE OUR GOAL - THE GOLF COURSE. GOLF IS FREQUENTLY CONSIDERED THE GAME OF SUCCESSFUL PEOPLE - PEOPLE WHO WOULD BE EXCELLENT ROLE MODELS FOR CHI CHI'S KIDS. GOLF ALSO REQUIRES SELF-CONTROL, RESPONSIBILITY AND RESPECT FOR OTHERS. OUTSTANDING ATHLETIC ABILITY, SIZE AND DEXTERITY ARE NOT NECESSARY TO PARTICIPATE. SUCCESS FOR CHI CHI'S KIDS HAD TO BE REACHED THROUGH (AS CHI CHI SAID), "LOVE, UNDERSTANDING, COMPASSION, AND SELF-ESTEEM." ALTHOUGH CHI CHI WAS RAISED IN A POOR FAMILY, HIS FAMILY WAS RICH IN ALL OF THOSE IMPORTANT QUALITIES. THE TARGET GROUP FOR ACADEMY'S ACTIVITIES IS CHILDREN RANGING IN AGE FROM 5 TO 17. WE CURRENTLY SERVE MORE THAN 3,600 CHILDREN IN OUR PROGRAMS. NINETY OF THOSE CHILDREN ARE STUDENTS THAT ATTEND THE CHI CHI ACADEMY, A PRIVATELY SUPPORTED PUBLIC SCHOOL IN PARTNERSHIP WITH THE PINELLAS COUNTY SCHOOL BOARD FOR STUDENTS WHO HAVE BEEN IDENTIFIED AS AT RISK OF DROPPING OUT OF SCHOOL. UNDERPERFORMING STUDENT CANDIDATES ARE TYPICALLY IDENTIFIED AND REFERRED TO THE ACADEMY BY PINELLAS COUNTY SCHOOL DISTRICT GUIDANCE COUNSELORS, TEACHERS AND PRINCIPALS. MOST STUDENTS LIVE NORTH OF ULMERTON ROAD UP TO TARPON SPRINGS. TO BE ACCEPTED INTO THE PROGRAM, THE CHILDREN MUST MEET TWO OR MORE OF THE FOLLOWING REQUIREMENTS: (1) HAVE POOR GRADES; (2) PERFORM BELOW STATE EXPECTATIONS ON STANDARDIZED TESTING (3) BE SOCIALLY WITHDRAWN; (4) HAVE POOR SCHOOL ATTENDANCE; (5) BE FROM A SINGLE PARENT HOME; (6) BE ON SOME FORM OF GOVERNMENT ASSISTANCE. THE FOUNDATION USES A HOLISTIC APPROACH IN ITS PROGRAMS. EMPHASIS IS PLACED ON HOMEWORK ASSISTANCE, TUTORING, SOCIAL SKILLS, CORE VALUES, PERSONAL GROOMING, BUSINESS SKILLS, RETAIL, ART, LANDSCAPING, AND GOLF. GOLF WAS CHOSEN AS A KEY INGREDIENT FOR THE PROGRAM BECAUSE IT DOES NOT REQUIRE EXTRAORDINARY SIZE, SPEED, OR STRENGTH TO ACHIEVE SUCCESS. THE SPORT DOES, HOWEVER, REQUIRE CONSISTENT PERSONAL DISCIPLINE, CONCENTRATION, HONESTY, MOTIVATION AND TENACITY. THESE TEACHABLE TRAITS PLUS EXPOSURE TO ROLE MODELS, INCLUDING SUCCESSFUL ADULT GOLFERS, MADE GOLF A NATURAL CHOICE. THE CHI CHI RODRIGUEZ ACADEMY - PUBLIC PARTNERSHIP SCHOOL THE PUBLIC PRIVATE PARTNERSHIP SCHOOL KNOWN AS THE CHI CHI RODRIGUEZ ACADEMY IS A VOLUNTARY SCHOOL FOR FOURTH THROUGH EIGHTH GRADE STUDENTS WHO ARE NOT ACHIEVING AT THEIR GRADE LEVEL, HAVE LOW SELF-ESTEEM OR HAVE DIFFICULTY ADJUSTING TO A LARGER ACADEMIC ENVIRONMENT. STUDENTS LEARN THROUGH INTERACTIVE EXPERIENCES IN THE FIELDS OF MANAGEMENT, MARKETING, RETAIL SALES, LANDSCAPING, AGRONOMY AND VARIOUS OTHER REAL-WORLD BUSINESS ENVIRONMENTS. THROUGH THE SCHOOL'S "SHADOW PROGRAM", STUDENTS, ON A ROTATING BASIS, GET TO WORK WITH AN ADULT IN EVERY DEPARTMENT OF THE GOLF CLUB AND THE YOUTH FOUNDATION. WHILE LEARNING ABOUT VARIOUS JOBS, THE CHILDREN SEE HOW BASIC EDUCATIONAL SKILLS LIKE MATH AND READING ARE USED ON AN EVERYDAY BASIS IN JOBS. THE TEACHERS VERIFY THAT STUDENTS ARE MUCH MORE ENTHUSIASTIC WHEN THEY SEE HOW SKILLS THEY LEARN IN THE CLASSROOM ARE USED OUTSIDE THE CLASSROOM IN THE REAL WORLD. THE SHADOW PROGRAM ALSO REINFORCES SOCIAL SKILLS, WHICH ARE AN INTEGRAL PART OF OUR EDUCATIONAL SETTING. THE PINELLAS COUNTY SCHOOL SYSTEM PROVIDES THE TEACHERS, THE TEACHER ASSISTANTS, SUPPORT STAFF, STUDENT SERVICES AND TECHNOLOGY. THE FOUNDATION PROVIDES THE CAMPUS FACILITY, GOLF EDUCATION AND EQUIPMENT AND CLASSROOM ENRICHMENT MATERIALS. THE GOLF CLUB DELIVERS THE REAL LIFE LEARNING EXPERIENCE. "WE MAXIMIZE THE RESOURCES THAT STUDENTS WOULD RECEIVE AT TRADITIONAL SCHOOLS AND PROVIDE THEM WITH ADDITIONAL SUPPORT. THE STUDENTS HAVE A MUCH GREATER OPPORTUNITY TO SUCCEED BECAUSE OF THAT SUPPORT" ACCORDING TO OUR CHAIRMAN OF THE BOARD, TOM JAMES. THE SMALL SCHOOL ATMOSPHERE, INDIVIDUALIZED ATTENTION, COUNSELING, AVAILABILITY OF STUDENT SERVICES AND SPECIALIZED INSTRUCTIONAL COMPONENTS TAUGHT BY CERTIFIED PINELLAS COUNTY TEACHERS FOSTER A DESIRE IN CHI CHI'S KIDS TO SUCCEED IN SCHOOL AND LIFE. FIRST TEE - CLEARWATER PROGRAM FIRST TEE - CLEARWATER IS ONE OF THREE TAMPA BAY AREA CHAPTERS AND SERVES OVER 3,600 PARTICIPANTS. LIFE SKILLS EXPERIENCE PROGRAMS ARE OFFERED IN SEVEN LOCAL ELEMENTARY SCHOOLS, AS WELL AS AT THE CHI CHI RODRIGUEZ GOLF CLUB AND THE CHI CHI RODRIGUEZ DRIVING RANGE. AT FIRST TEE - CLEARWATER, WE'RE BUILDING "GAME CHANGERS" BY EMPOWERING KIDS AND TEENS TO BE THE BEST VERSION OF THEMSELVES. BY SEAMLESSLY INTEGRATING THE GAME OF GOLF WITH CHARACTER-BUILDING, WE CREATE LEARNING EXPERIENCES THAT HELP KIDS UNCOVER THEIR INNER STRENGTH, SELF-CONFIDENCE, AND RESILIENCE THAT THEY CAN CARRY TO EVERYTHING THEY DO. OUR TRAINED COACHES NOT ONLY PROVIDE AN INTRODUCTION TO JUNIOR GOLF AND AN OPPORTUNITY TO ENHANCE GOLF SKILLS, BUT THEY ALSO CREATE A SAFE, SUPPORTIVE, AND EMPOWERING ENVIRONMENT TO HELP EACH CHILD PREPARE FOR THEIR LIFE AHEAD, INCLUDING FRIENDSHIPS, SCHOOL, COLLEGE AND EVEN THEIR CAREERS. CHILDREN LEARN SKILLS THROUGH OUR PROGRAM THAT STAY WITH THEM FOR LIFE: UNDERSTANDING AND MANAGING EMOTIONS, RESOLVING CONFLICTS, SETTING UP STEP- BY-STEP GOALS, PLANNING FOR THE FUTURE, APPRECIATING DIVERSITY AND GOLF FUNDAMENTALS AND ADVANCED TECHNIQUES.
FORM 990, PAGE 6, PART VI, LINE 2	TOM JAMES - RAYMOND JAMES SCOTT CURTIS - RAYMOND JAMES CHRMN EMERIT PRES PVT CLN OFFICERS IN SAME CORPORATION
FORM 990, PAGE 6, PART VI, LINE 11B	THE TAX PREPARER REVIEWS THE FORM 990 WITH MANAGEMENT AND THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 12C	ALL BOARD MEMBERS COMPLETE AND SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS.
FORM 990, PAGE 6, PART VI, LINE 15A	INDUSTRY BENCHMARKS FROM OTHER NON PROFITS ARE TYPICALLY REVIEWED TO COMPARE COMPENSATION PACKAGES. BENCHMARKS USED TO DETERMINE BASE SALARY AND OTHER BENEFITS ARE: EDUCATIONAL BACKGROUND, INDUSTRY EXPERIENCE, BUDGET SIZE, NUMBER OF EMPLOYEES AND NUMBER OF DIRECT REPORTS.
FORM 990, PAGE 6, PART VI, LINE 15B	INDUSTRY BENCHMARKS FROM OTHER NON PROFITS ARE TYPICALLY REVIEWED TO COMPARE COMPENSATION PACKAGES. BENCHMARKS USED TO DETERMINE BASE SALARY AND OTHER BENEFITS ARE: EDUCATIONAL BACKGROUND, INDUSTRY EXPERIENCE, BUDGET SIZE, NUMBER OF EMPLOYEES AND NUMBER OF DIRECT REPORTS.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9	PPP LOAN FORGIVEN 7/2/21 -235,500 ON AUDITED FINANCIAL STATEMENTS RECOGNIZED IN FYE6/30/20 0 TOTAL -235,500

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: TO PROVIDE ACADEMIC AND VOCATIONAL, JUNIOR GOLF, AND PERSONAL LIFE MANAGEMENT PROGRAMS FOR DISADVANTAGED CHILDREN THROUGH ITS GOLF COURSE CAMPUS AND CLASSROOMS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	22
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	22
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	62
6	Total number of volunteers (estimate if necessary) .............	6	151
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) .........	859,005	1,580,037
9	Program service revenue (Part VIII, line 2g) .........	2,090,651	2,449,456
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	69,479	155,781
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,510	31,512
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,026,645	4,216,786
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)	1,203,977	1,333,765
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 273,459
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,376,575	1,564,910
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,580,552	2,898,675
19	Revenue less expenses. Subtract line 18 from line 12.......	446,093	1,318,111
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	6,554,423	7,111,374
21	Total liabilities (Part X, line 26).............	258,729	255,399
22	Net assets or fund balances. Subtract line 21 from line 20.....	6,295,694	6,855,975

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,662,346 including grants of $ ) (Revenue $ )
	ACADEMIC/VOCATIONAL EDUCATION - STUDENTS RECEIVE TUTORING FROM PROFESSIONAL EDUCATORS AND VOLUNTEERS. THEY ARE TRAINED IN RETAIL SALES SKILLS, HORTICULTURE AND PERSONAL LIFE MANAGEMENT SKILLS. SEE ADDITIONAL INFORMATION ATTACHED.

4b	(Code: ) (Expenses $ 412,452 including grants of $ ) (Revenue $ )
	PERSONAL LIFE MANAGEMENT - GUIDANCE PROVIDED IN PERSONAL GROOMING, WORK HABITS AND MONEY MANAGEMENT. YOUTH LEARN ABOUT VALUES AND THE CONSEQUENCES OF THEIR CHOICES. SEE ADDITIONAL INFORMATION ATTACHED.

4c	(Code: ) (Expenses $ 322,415 including grants of $ ) (Revenue $ )
	JUNIOR GOLF - EXPOSES HIGH RISK CHILDREN TO POSITIVE ROLE MODELS AND INDIVIDUALS WHO HAVE BECOME SUCCESSFUL IN THEIR CAREERS. TEACHES DECISION MAKING, MATH, AGRONOMY, HORTICULTURE, SOCIAL SKILLS AND DEVELOPMENT OF SELF ESTEEM. TEACHES THAT SUCCESS IN LIFE, LIKE GOLF, DEPENDS ON THE DECISIONS MADE AND THE ABILITY TO OVERCOME ADVERSITY. SEE ADDITIONAL INFORMATION ATTACHED.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,397,213

(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
(18) ELLIOTT ROSS........................................................................ DIRECTOR	.......................	X		0	0	0
(19) ERIC STEWART........................................................................ DIRECTOR	.......................	X		0	0	0
(20) FRED WHALEY........................................................................ DIRECTOR	.......................	X		0	0	0
(21) BILL WICKETT........................................................................ DIRECTOR	.......................	X		0	0	0
(22) KENDALL M WILSON........................................................................ DIRECTOR	.......................	X		0	0	0
(23) JAMES POULTER........................................................................ CEO	40.00 .......................		X	109,305	0	3,279
(24) MALLORY HUBBARD........................................................................ CDO/CFO	40.00 .......................		X	72,474	0	7,846

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	181,779	11,125

(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	654,196
d	Related organizations		1d
e	Government grants (contributions)		1e	235,500

f	All other contributions, gifts, grants, and similar amounts not included above		1f	690,341

g	Noncash contributions included in lines 1a - 1f:$		1g	139,389

h Total. Add lines 1a-1f.......		1,580,037

		Business Code
2a	GOLF REVENUE		1,672,051	1,672,051
b	SPORTS COMPLEX REVENUE		777,405	777,405
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		2,449,456

3 Investment income (including dividends, interest, and othersimilar amounts) ......			136,834			136,834
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		145,099	7a
b	Less: cost or other basis and sales expenses		126,152	7b
c	Gain or (loss)		18,947	7c
d	Net gain or (loss).........			18,947	18,947
8a	Gross income from fundraising events (not including $ 654,196of contributions reported on line 1c). See Part IV, line 18 ....
			8a	16,030
b	Less: direct expenses ...		8b	144,693
c	Net income or (loss) from fundraising events..			-128,663
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	373,334
b	Less: cost of goods sold ..		10b	224,699
c	Net income or (loss) from sales of inventory..			148,635	148,635
Business Code			Miscellaneous Revenue
11a	OTHER REVENUE			11,540	11,540
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			11,540
12	Total revenue. See instructions.....			4,216,786	2,628,578		136,834

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 ...........	189,272	41,929		147,343
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........	985,919	917,653	58,385	9,881
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,590	5,833	679	1,078
9	Other employee benefits .......	63,314	52,652	3,241	7,421
10	Payroll taxes ...........	87,670	71,626	4,384	11,660
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	37,450		37,450
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	2,994		2,994
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....	117,576	70,546	23,515	23,515
13	Office expenses .......	43,757	37,193	4,376	2,188
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 ....
20	Interest ...........	4,877	4,145	488	244
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	202,704	172,299	20,270	10,135
23	Insurance ...	111,266	94,576	11,127	5,563
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	GOLF COURSE MAINTENANCE	308,039	308,039
b	UTILITIES & PHONE	212,366	180,511	21,237	10,618
c	BUILDING & EQUIP. MAINT.	160,137	136,117	16,013	8,007
d	PROGRAM SUPPLIES	101,406	101,406
e	All other expenses	262,338	202,688	23,844	35,806
25	Total functional expenses. Add lines 1 through 24e	2,898,675	2,397,213	228,003	273,459
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 ........			107,086	1	325,556
2	Savings and temporary cash investments .........			1,270,347	2	1,685,300
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............				4	4,280
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 ............			65,300	8	82,931
9	Prepaid expenses and deferred charges ......			29,272	9	29,604
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	7,067,821
b	Less: accumulated depreciation	10b	5,261,517	1,599,347	10c	1,806,304
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			2,009,812	12	1,762,290
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			1,473,259	15	1,415,109
16	Total assets. Add lines 1 through 15 (must equal line 33)...			6,554,423	16	7,111,374

17	Accounts payable and accrued expenses .....	104,178	17	150,641
18	Grants payable ...		18
19	Deferred revenue .........	36,383	19	32,096
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	118,168	25	72,662
26	Total liabilities. Add lines 17 through 25..	258,729	26	255,399

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,173,012	27	4,000,479
28	Net assets with donor restrictions ...........	3,122,682	28	2,855,496
	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 ...........	6,295,694	32	6,855,975
33	Total liabilities and net assets/fund balances ........	6,554,423	33	7,111,374