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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(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.") .. | 89,000 | 64,054 | 91,000 | 132,618 | 142,567 | 519,239 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | 0 | 0 | 0 | 0 | 0 | 0 |
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 4 | Total. Add lines 1 through 3 | 89,000 | 64,054 | 91,000 | 132,618 | 142,567 | 519,239 |
| 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. | 519,239 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 89,000 | 64,054 | 91,000 | 132,618 | 142,567 | 519,239 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 2,530 | 2,517 | 2,529 | 2,613 | 2,491 | 12,680 |
| 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 | 531,919 | |||||
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) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 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. |
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| 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) |
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| 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. |
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|
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. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 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 |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| Part I, line 10 | | Grants And Similar Amounts Paid:, Amount:| Grantee: Counseling and Recovery Services 7010 S. Yale Unit 215 Tulsa Oklahoma 74136. Activity: Supplies for totes to support peer-to-peer outings. Serves 350 children under the age of 18., $6000| Grantee: College Bound Academy - Street: 2525 Couth 101st E. Avenue Tulsa Oklahoma 74103. Activity" Purchase books in both English and Spanish. Serves 450 students Pre-K through 8th grade., $2500| Grantee: Food Bank of Eastern Oklahoma - 1304 N. Kenosha Ave. Tulsa OK 74106 Activity: Provides weekend backpacks of food to elementary and middle school students. Provides 24000 Meals., $5000| Grantee: Gaining Ground P.O. Box 4589 Tulsa OK 74101. Activity: Support out-of-school time programming to develop lifelong readers. Serves 720 students., $5000| Grantee: Happy Hands 8801 S. Garnett Road Broken Arrow OK 74012. Activity: Scholarship fund to provide early intervention and access to language for deaf children 0-6 years old. Serves 88 children., $5500| Grantee: Jenks Care Point 2914 E. 91st St. Tulsa OK. Activity - Provide backpacks and school supplies. Serves 660 children., $5000| John 3:16 575 N. 39th W. Avenue Tulsa OK 74127. Activity: Summer Kids Camp Literacy Program. Serves 2400 children., $3000| Grantee: Joy in the Cause 5550 S. Garnett Rd Suite 300 Tulsa OK 74146. Activity: Trama Kits filled with items bringing comfort and hope. Serves 165 children., $5000| Grantee: Lilyfield 2625 N. Peoria Ave. Tulsa OK 74106. Activity: Arts and crafts and snacks for after school programs. Serves two elementary schools in North Tulsa., $2000| Grantee: Little Light House 5120 E. 36th St. Tulsa OK 74135. Activity: Necessary classroom and therapeutic supplies for students. Serves 116 Special Needs children from birth to six years old., $7500| Grantee: Loughridge Camps 4900 W. 71st St. Tulsa OK 74131. Activity: Five Scholarships with special needs and physical disabilities. Serves 1000 children., $2500| Grantee: New Heights Summer Camp 505 E. Kenosha Broken Arrow OK 74012. Activity: Purchase art math reading and STEM classroom supplies. Serves 225 children each summer from 18 years and younger., $5000| Grantee: New Hope Oklahoma P.O. Box 3243 Tulsa OK 74101. Activity: Provide materials and supplies for after school programming. Serves 200 children with incarcerated parent., $2500| Grantee: One Hope Tulsa Inc. 7419 E. 11th St. Tulsa OK 74112. Activity: Purchase developmentally appropriate book for their after-school program Resilient Kids. Serves 300 children., $4000| Grantee: Operation Hope Prison Ministry 739 N. Denver Ave. #A Tulsa OK 74106. Activity: Helps incarcerated parents and grandparents stay connected with their children. Provide funding for emergency housing food clothing academic support and counseling for these children. Serves 240 children., $5000| Grantee: Restore Hope Ministries 2960 Charles Page Blvd. Tulsa OK 74127. Activity: Purchase school supplies. Serves 782 Pre-K through 12th grade children., $2500| Grantee: Saint Catherine's School 2515 Wet 46th Street Tulsa OK 74107. Activity: Purchase materials for sensory and play based learning across all grades: water tables for early childhood manipulatives for elementary school and new play equipment for sports teams. Serves 150 children., $5500| Grantee: San Miguel Middle School 2444 E. Admiral Blvd. Tulsa OK 74110. Activity: Purchase program supplies for their Literacy Program. Serves 70 6th 7th and8th grade students., $5000| Grantee: Sistema Tulsa 1301 S. Boston Ave Tulsa OK 74119. Activity: Support the purchase of additional brass instrument strings reeds and method books. Serves 328 students from low to moderate income., $4000| Grantee: The Center for Individuals with Physical Challenges 815 S. Utica Ave. Tulsa OK 74104. Activity: Purchase consumable supplies for afterschool and camp activities. Service 100 youth from 6 to 17 years old., $2500| Grantee: The Demand Project - contact@thedemandproject.org. Activity: Purchase food clothing shoes bedspreads dressers alarm clocks prescription glasses personal music playing device and personal Google Chromebook for their schoolwork. Serves: Underage victims of sex abuse ages 11-17. The campus can house up to 30 survivors, $8000| Grantee: The Parent Child Center Tulsa 1421 S. Boston Ave. Tulsa OK 74119. Activity: Provide child safety items for families in their Positive Parenting and SafeCare home visitation programs. Serves: 932 families with children ages birth to five., $2000| Grantee: The Salvation Army 924 S. Hudson Ave. Tulsa OK 74101. Activity: Purchase electronics for educational or entertainment use arts and crafts supplies snacks for afterschool program and t-shirts for Club members. Serves: approximately 10,000 children., $3000| Grantee: The Spring P.O. Box 1588 Sand Springs OK 74063. Activity: Provide school supplies books and healthy relationship curriculum for their children's programming. Served 134 children who are victims of domestic violence and human sex trafficking., $5800| Grantee: Town and Country School 806 E. 34th St. Tulsa OK 74145. Activity: Purchase a 1-year Learning Ally subscription Serves children Kindergarten through 12th grade with learning disabilities., $6200| Grantee: Youth at Heart P.O. Box 35798 Tulsa OK 74153. Activity: After School Enrichment Program. Serves approximately 600 youth that attend Title 1 low-pperforming schools or live in under resourced low-income communities., $3000| Grantee: Youth Services 311 S. Madison Ave. Tulsa OK 74120. Activity: Provide nutritious food for youth through their Adolescent Emergency Shelter and Street Outreach Services. Serves approximately 650 Young people., $7000| Grantee: Hospitality House 1135 S. Victor Ave. Tulsa OK 74104. Activity: Apartment for out-of-town families with children in Tulsa hospital meals and other contributions., $3432| |
| Part I, line 16 | | Other Expenses:, Amount:| Volunteer Recognition, $903| Supplies, $1213| Meetings and Programs, $1371| Insurance, $2078| Business Expenses Banking, $4290| Sales Tax Expense, $34| |
| Part II, line 24 | | Explanation:, BOYAmount:, EOYAmount:| Accounts Receivable, $129, $488| Furniture Fixtures & Appliances, $85, $85| |
| Part II, line 26 | | Explanation:, BOYAmount:, EOYAmount:| Sales Tax Payable, $811, $923| |
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