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 |
||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 2,000 | 30,000 | 44,325 | 671,161 | 747,486 | |
| 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 | 2,000 | 30,000 | 44,325 | 671,161 | 747,486 | |
| 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) .. | 60,778 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 686,708 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,000 | 30,000 | 44,325 | 671,161 | 747,486 | |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 27 | 17 | 44 | |||
| 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 | 747,530 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 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 | ||||
| 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 2023 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-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO ENCOURAGE CHILDREN TO ABSTAIN FROM THE USE OF ILLEGAL DRUGS. THE ORGANIZATION OPERATES PROGRAMS FOR ITS PARTICIPANTS, WHO ARE REQUIRED TO SIGN A CONTRACT TO REMAIN DRUG FREE, WHICH CONTRACT MUST BE SIGNED BY EACH PARTICIPATING STUDENT AND HIS OR HER PARENT. THE SPECIFIC OBJECTIVES AND PURPOSES OF THE ORGANIZATION ARE: 1. TO SPONSOR AND/OR HOST EVENTS, ACTIVITIES, PROGRAMS, AND EDUCATION FOR PARTICIPANTS AND THE COMMUNITY, WHICH ARE INTENDED TO ENCOURAGE AND PROMOTE LIVING DRUG-FREE AND EXCELLING IN LIFE. 2. TO PROVIDE POSITIVE REINFORCEMENT TO PARTICIPANTS FOR LIVING DRUG-FREE AND EXCELLING BY SPONSORING PARTICIPANT-ONLY EVENTS. 3. TO PROVIDE OPPORTUNITIES FOR PARTICIPANTS TO ENGAGE IN VOLUNTEER ACTIVITIES IN THE COMMUNITY AND TO PARTICIPATE IN COMMUNITY ACTIVITIES. 4. TO ENTER INTO ARRANGEMENTS WITH COMMUNITY BUSINESSES AND LOCAL ORGANIZATIONS TO PROVIDE REWARDS AND INCENTIVES TO PARTICIPANTS AS A MEANS TO REINFORCE PARTICIPANTS' DECISIONS TO BE DRUG-FREE AND TO DEMONSTRATE TO PARTICIPANTS THAT THOSE DECISIONS ARE VALUED BY PEOPLE IN THE COMMUNITY. |
| FORM 990, PAGE 2, PART III, LINE 2 | IN AN ONGOING EFFORT TO PLACE THE DECISION OF STUDENTS TO REMAIN DRUG FREE IN THE BROADER CONTEXT OF A HEALTHY LIFESTYLE WITHIN A HEALTHY COMMUNITY, THE ORGANIZATION CONTINUES TO EXPAND ITS COMMUNITY HEALTH AND WELLNESS PROGRAMS. THE PRIMARY CHANGES FOR 2023 INCLUDE: 1. CREATING A STRENGTH CLASS FOR YOUNG ADULTS WITH DISABILITIES. PARTICIPANTS ARE RECENT GRADUATES OF CODY HIGH SCHOOL WHO ARE WORKING TO MAINTAIN A HEALTHY LIFESTYLE AS THEY SEGUE INTO EITHER INDEPENDENT LIVING OR LIVING WITH A CAREGIVER. THE ORGANIZATION HAS OFFERED TWICE WEEKLY EXERCISE CLASSES, WHICH INCLUDE NUTRITION AND LIFESTYLE EDUCATION COMPONENTS. 2. THE ORGANIZATION IS PARTNERING WITH THE WYOMING DEPARTMENT OF HEALTH ON A COMMUNITY HEALTH AND WELLNESS INITIATIVE - A TWICE WEEKLY STRENGTH AND BALANCE CLASSES FOR SENIOR CITIZENS IN THE CODY COMMUNITY FUNDED BY THE WYOMING DEPARTMENT OF HEALTH THROUGH DECEMBER OF 2026. THE PRIMARY GOALS OF THIS PROGRAM INCLUDE DEVELOPING STRONGER INTERGENERATIONAL COMMUNITY BONDS BETWEEN CODY'S SENIOR CITIZENS AND CODY HIGH SCHOOL YOUTH BY HAVING THE ORGANIZATION'S MEMBERS VOLUNTEER TO ASSIST WITH THE CLASSES. THIS VOLUNTEER OPPORTUNITY FURTHERS THE ORGANIZATION'S MISSION 3, WHICH IS STATED ABOVE IN THIS SCHEDULE O. (IT TAKES A VILLAGE AND MANY TEENS DO NOT HAVE REGULAR INTERACTIONS WITH OLDER FAMILY MEMBERS.) A COMPONENT OF THE GRANT WAS TO UTILIZE TECHNOLOGY, SO THE ORGANIZTION IS UTILIZING PREDICTIVE TECHNOLOGY ALONG WITH COMMUNITY BASED INTERVENTIONS (THE TWICE WEEKLY STRENGTH CLASSES) TO PREVENT FALLS, SAFEGUARD INDEPENDENCE, AND IMPROVE MOBILITY OF SENIORS (AGES 65 AND UP). - SPARTA PLATES, WHICH ARE CURRENTLY PRIMARILY USED IN THE MILITARY AND PROFESSIONAL SPORTS LEAGUES TO IDENTIFY THE POTENTIAL FOR INJURY AND THEN PROVIDE PRESCRIPTIVE TRAINING INTERVENTIONS BY MEASURING LOAD, EXPLODE AND DRIVE. THE ORGANIZATION USES THE PLATES TO ASSESS "SWAY- AND BALANCE ISSUES, AS WELL AS TO MEASURE GENERATED FORCE AS A MEASURE OF STRENGTH. |
| FORM 990, PAGE 2, PART III, LINE 4A | THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO ENCOURAGE CHILDREN TO ABSTAIN FROM THE USE OF ILLEGAL DRUGS. THE ORGANIZATION OPERATES PROGRAMS FOR ITS PARTICIPANTS, WHO ARE REQUIRED TO SIGN A CONTRACT TO REMAIN DRUG FREE, WHICH CONTRACT MUST BE SIGNED BY EACH PARTICIPATING STUDENT AND HIS OR HER PARENT. THE SPECIFIC OBJECTIVES AND PURPOSES OF THE ORGANIZATION ARE: 1. TO SPONSOR AND/OR HOST EVENTS, ACTIVITIES, PROGRAMS, AND EDUCATION FOR PARTICIPANTS AND THE COMMUNITY, WHICH ARE INTENDED TO ENCOURAGE AND PROMOTE LIVING DRUG-FREE AND EXCELLING IN LIFE. 2. TO PROVIDE POSITIVE REINFORCEMENT TO PARTICIPANTS FOR LIVING DRUG-FREE AND EXCELLING BY SPONSORING PARTICIPANT-ONLY EVENTS. 3. TO PROVIDE OPPORTUNITIES FOR PARTICIPANTS TO ENGAGE IN VOLUNTEER ACTIVITIES IN THE COMMUNITY AND TO PARTICIPATE IN COMMUNITY ACTIVITIES. 4. TO ENTER INTO ARRANGEMENTS WITH COMMUNITY BUSINESSES AND LOCAL ORGANIZATIONS TO PROVIDE REWARDS AND INCENTIVES TO PARTICIPANTS AS A MEANS TO REINFORCE PARTICIPANTS' DECISIONS TO BE DRUG-FREE AND TO DEMONSTRATE TO PARTICIPANTS THAT THOSE DECISIONS ARE VALUED BY PEOPLE IN THE COMMUNITY. |
| FORM 990, PAGE 2, PART III, LINE 4C | IN AN ONGOING EFFORT TO PLACE THE DECISION OF STUDENTS TO REMAIN DRUG FREE IN THE BROADER CONTEXT OF A HEALTHY LIFESTYLE WITHIN A HEALTHY COMMUNITY, THE ORGANIZATION CONTINUES TO EXPAND ITS COMMUNITY HEALTH AND WELLNESS PROGRAMS. THE PRIMARY CHANGES FOR 2023 INCLUDE: 1. CREATING A STRENGTH CLASS FOR YOUNG ADULTS WITH DISABILITIES. PARTICIPANTS ARE RECENT GRADUATES OF CODY HIGH SCHOOL WHO ARE WORKING TO MAINTAIN A HEALTHY LIFESTYLE AS THEY SEGUE INTO EITHER INDEPENDENT LIVING OR LIVING WITH A CAREGIVER. THE ORGANIZATION HAS OFFERED TWICE WEEKLY EXERCISE CLASSES, WHICH INCLUDE NUTRITION AND LIFESTYLE EDUCATION COMPONENTS. 2. THE ORGANIZATION IS PARTNERING WITH THE WYOMING DEPARTMENT OF HEALTH ON A COMMUNITY HEALTH AND WELLNESS INITIATIVE - A TWICE WEEKLY STRENGTH AND BALANCE CLASSES FOR SENIOR CITIZENS IN THE CODY COMMUNITY FUNDED BY THE WYOMING DEPARTMENT OF HEALTH THROUGH DECEMBER OF 2026. THE PRIMARY GOALS OF THIS PROGRAM INCLUDE DEVELOPING STRONGER INTERGENERATIONAL COMMUNITY BONDS BETWEEN CODY'S SENIOR CITIZENS AND CODY HIGH SCHOOL YOUTH BY HAVING THE ORGANIZATION'S MEMBERS VOLUNTEER TO ASSIST WITH THE CLASSES. THIS VOLUNTEER OPPORTUNITY FURTHERS THE ORGANIZATION'S MISSION 3, WHICH IS STATED ABOVE IN THIS SCHEDULE O. (IT TAKES A VILLAGE AND MANY TEENS DO NOT HAVE REGULAR INTERACTIONS WITH OLDER FAMILY MEMBERS.) A COMPONENT OF THE GRANT WAS TO UTILIZE TECHNOLOGY, SO THE ORGANIZTION IS UTILIZING PREDICTIVE TECHNOLOGY ALONG WITH COMMUNITY BASED INTERVENTIONS (THE TWICE WEEKLY STRENGTH CLASSES) TO PREVENT FALLS, SAFEGUARD INDEPENDENCE, AND IMPROVE MOBILITY OF SENIORS (AGES 65 AND UP). - SPARTA PLATES, WHICH ARE CURRENTLY PRIMARILY USED IN THE MILITARY AND PROFESSIONAL SPORTS LEAGUES TO IDENTIFY THE POTENTIAL FOR INJURY AND THEN PROVIDE PRESCRIPTIVE TRAINING INTERVENTIONS BY MEASURING LOAD, EXPLODE AND DRIVE. THE ORGANIZATION USES THE PLATES TO ASSESS "SWAY- AND BALANCE ISSUES, AS WELL AS TO MEASURE GENERATED FORCE AS A MEASURE OF STRENGTH. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE ORGANIZATION HAS INFORMED ITS BOARD OF DIRECTORS THAT A COPY OF THE FORM 990 IS AVAILABLE UPON REQUEST. NO REVIEW OF THE FORM 990 WAS OR WILL BE CONDUCTED BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND POLICIES AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. IN 2023, NO ONE REQUESTED ANY OF THESE DOCUMENTS. |
| Software ID: | |
| Software Version: |