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.") . | 43,966 | 39,400 | 42,114 | 40,490 | 32,373 | 198,343 |
| 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 | 14,698 | 8,848 | 0 | 2,428 | 19,740 | 45,714 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 2,760 | 0 | 0 | 0 | 0 | 2,760 |
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | 0 | 0 | 0 | 0 | 0 |
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | 0 | 0 | 0 | 0 | 0 | 0 |
| 6 | Total. Add lines 1 through 5 | 61,424 | 48,248 | 42,114 | 42,918 | 52,113 | 246,817 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | 0 | 0 | 0 | 0 | 0 |
| 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. | 0 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 8 | Public support. (Subtract line 7c from line 6.) | 246,817 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 61,424 | 48,248 | 42,114 | 42,918 | 52,113 | 246,817 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | 0 | 0 | 0 | 0 | 0 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 10a and 10b. | 0 | 0 | 0 | 0 | 0 | 0 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | 0 | 0 | 0 | 0 | 0 | 0 |
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 0 | 0 | 0 | 0 | 0 | 0 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 61,424 | 48,248 | 42,114 | 42,918 | 52,113 | 246,817 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 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 |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 22015720 |
| Software Version: | v1.00 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990-EZ, Part I, Line 10 | Cottington Trust Scholarship - Western Washington University - Leilani B. $3,700.00 Cottington Trust Scholarship disbursement - $5,000.00 DEBIT CARD PURCHASE DDA PURCHASE PAPA JOHNS #1749 808-483-7272HI $161.21 DEBIT CARD PURCHASE DDA PURCHASE TROPICSMINIGOLF.CO PROVOUT $225.13 DEBIT CARD PURCHASE DDA PURCHASE WWW.KAPOLEIKARAOKE KAPOLEIHI $93.51 Jotform subscription for Serteens Club of Hawaii $174.00 OWL video conference equipment for Serteens Club of Hawaii and Honolulu Sertoma Club, $2,188.43 Safe Ears brochure production and printing $2,675.39 Serteens Club of Hawaii - VP Programs social $165.12 Serteens Club of Hawaii Officers Retreat supplies and equipment $391.02 Serteens Club of Hawaii T-shirt equipment $1,677.08 Sertoma Inc. - Annual Fund Club Donation, $1,000.00 Sertoma Inc. - Qtr 2 dues DEBIT CARD PURCHASE DDA PURCHASE FSP*SERTOMA, INC. 816-333-8300MO $597.50 Sertoma Inc. - Qtr 3 dues DEBIT CARD PURCHASE DDA PURCHASE FSP*SERTOMA, INC. 816-333-8300MO $571.25 Sertoma Inc. - Qtr 4 dues DEBIT CARD PURCHASE DDA PURCHASE FSP*SERTOMA, INC. 816-333-8300MO $551.25 Sertoma Inc. - Quarter 1 dues, $525.00 Sertoma Inc. - Serteens Sponsorship, $375.00 Sertoma Mountain West Region - Qtr 1 dues, $64.00 Sertoma Mountain West Region - Qtr 2 dues, $68.00 Sertoma Mountain West Region - Qtr 3 dues $68.00 Sertoma Mountain West Region - Qtr 4 dues $68.00 Zoom Subscription for Honolulu Sertoma Club $156.96 4 Imprint KMC 2023 equipment and supplies, $791.82 50th Anniversary Serteens - IMEMORIES reimb. $46.77 50th Anniversary Serteens - DEBIT CARD PURCHASE DDA PURCHASE IMEMORIES SCOTTSDALEAZ $2,927.73 50th Anniversary Serteens - deposit reimb., $4,044.89 Appreciation Banquet 2023 - DEBIT CARD PURCHASE DDA PURCHASE M P LEI SHOP HONOLULUHI $346.59 Appreciation Banquet 2023 - DEBIT CARD PURCHASE DDA PURCHASE NATSUNOYA TEA HOUS HONOLULUHI $2,305.78 Appreciation Banquet 2023 - supplies and equipment $157.07 Appreciation Banquet 2023 - supplies and equipment, $80.59 DEBIT CARD PURCHASE DDA PURCHASE JOTFORM INC. SANCA $204.00 Halloween social prize $20.00 KMC 2023 - airfare and computer equipment reimb., $1,254.34 KMC 2023 - Arnott's Lodge - FHB ATM WITHDRAWAL DDA WITHDRAWAL TERM#FH1624 1425 LILIHA ST HONOLULU HI USA SEQ#000000000881 $300.00 KMC 2023 - DEBIT CARD PURCHASE DDA PURCHASE 76 - KILAUEA HILOHI $50.71 KMC 2023 - DEBIT CARD PURCHASE DDA PURCHASE CKE*HAWAII VOLCANO HAWAIIKS $551.74 KMC 2023 - DEBIT CARD PURCHASE DDA PURCHASE KMC-LODGING HAWAIIHI $13,204.06 KMC 2023 - DEBIT CARD PURCHASE DDA PURCHASE PIZZA HUT **1255 KEAAUHI $114.63 KMC 2023 - equipment and supplies, $891.39 KMC 2023 - PIN DEBIT PURCHASE DDA PURCHASE TERM#05832201 50 E PUAINAKO ST HILO HI USA SEQ#000000370148 $137.02 KMC 2023 - PIN DEBIT PURCHASE DDA PURCHASE TERM#05832201 50 E PUAINAKO ST HILO HI USA SEQ#000000734613 $365.97 KMC 2023 - PIN DEBIT PURCHASE DDA PURCHASE TERM#24247301 325 E MAKAALA ST HILO HI USA SEQ#000000714979 $690.37 KMC 2023 - PIN DEBIT PURCHASE DDA PURCHASE TERM#30616301 99-252 CRATER RIM HI NATL PARKHI USA SEQ#000000220518 $51.72 KMC 2023 - PIN DEBIT PURCHASE DDA PURCHASE TERM#48523001 16-586 OLD VOLCANO KEA AU HI USA SEQ#000000003795 $58.86 KMC 2023 - PIN DEBIT PURCHASE DDA PURCHASE TERM#50647202 OFFICE MA 311 MAKA HILO HI USA SEQ#000011446101 $82.32 KMC 2023 airfare - DEBIT CARD PURCHASE DDA PURCHASE HAWAIIAN ****1926 GROUPHI $10,561.38 KMC 2023 equipment and supplies, $124.60 KMC bus payment $585.00 Leadership Camp 2023 - A2A PAYMENT DEBIT A2A PAYMENT - DEBI TERM#00000007 GIV*CAMP MOKULEIA WAIALUA HI USA SEQ#000000770155 $2,328.00 Leadership Camp 2023 - DEBIT CARD PURCHASE DDA PURCHASE GIV*CAMP MOKULEIA 808-6376241HI $582.00 Leadership Camp 2023 - DEBIT CARD PURCHASE DDA PURCHASE HAWAIIAN ****3006 HONOLULUHI $817.70 Leadership Camp 2023 - DEBIT CARD PURCHASE DDA PURCHASE HAWAIIAN ****3008 HONOLULUHI $328.59 Online filing fees from State of Hawaii - DEBIT CARD PURCHASE DDA PURCHASE DCCA ELECTRONIC PY 8086954620HI $3.50 QR Tiger license purchase - Serteens program, $192.00 Reimbursement for Appreciation Banquet 2023 Natsunoya Restaurant $200.00 Reimbursement for KMC 2023 $64.54 Reimbursement for KMC 2023 airline deposit and License for Zoom yearly subscription $1,131.96 Reimbursement for KMC 2023 postage to Kauai contact Leah Awohi $16.10 Reimbursement for KMC 2023 van rental advance paid for discount $727.94 Serteens - Leadership Camp 2022, $117.03 Serteens - VP Programs reimbursement for social $78.53 Serteens Equipment cart purchase - SGT at Arms $94.22 Serteens Equipment cart purchase - VP Programs $94.22 Serteens VPoM Spirit Competition Reimbursement $45.00 Sertoma Inc. - Annual general liability Insurance invoice $408.00 State of Hawaii Charities Registration Division - PREAUTHORIZED TRNSFR HIGOV ******4620 Hawaiipymt **0922 ********4578 Honolulu Sertoma C $25.00 Supplies purchased for Leadership Camp 2022 $927.33 VP Programs - speaker lei, $11.51 |
| Form 990-EZ, Part I, Line 16 | Description;Amount^FHB ONLINE FEE;72|FHB SERVICE CHARGE OUTGNG WIRE TF FEE;75|FHB SERVICE CHARGE PAPER ESTMT FEE;20^Total;167^ |
| Software ID: | 22015720 |
| Software Version: | v1.00 |