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) 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.") .. | 893,992 | 976,017 | 983,926 | 1,267,259 | 630,946 | 4,752,140 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 893,992 | 976,017 | 983,926 | 1,267,259 | 630,946 | 4,752,140 |
| 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) .. | 0 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 4,752,140 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 893,992 | 976,017 | 983,926 | 1,267,259 | 630,946 | 4,752,140 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 3,900 | 844 | 3,544 | 2,298 | 1,565 | 12,151 |
| 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.).. | 3,575 | 3,575 | ||||
| 11 | Total support. Add lines 7 through 10 | 4,767,866 | |||||
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.") . | ||||||
| 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) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 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. |
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| 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) |
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| 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. |
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|
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. |
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|
7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 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..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
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| Software ID: | 21013475 |
| Software Version: | 2021v4.1 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: SCOPE OF WORK AND ACCOMPLISHMENTS FOR THE SPREP AND SRAE CONTRACTS WITH THE CNMI PUBLIC SCHOOL SYSTEMSConduct training of facilitators on the teen pregnancy prevention curricula in use in the CNMI (Making a Difference, Making Proud Choices, Be Proud Be Responsible). Planning for training completed. Actual training conducted November 2022.Assess professional development and training needs of PSS and community partner staff to build capacity in the CNMI to reduce unplanned pregnancy and sexually transmitted infections (STI) and increase sustainability of the PREP program. HYSN Director, CNMI Programs have worked with the PREP Director to identify training needs. Assess and respond to professional development,training and support needs of PSS staff and students related to COVID-19 issues.Based on identified needs, training is planned on trauma informed approaches with Tia Hartsock as a trainer.Provide training and technical assistance to PSS staff on teen pregnancy and STI prevention and related topics. Four PREP and SRAE staff attended a 2-day training on child sexual abuse prevention in June 2022. Met with PREP and SRAE staff to discuss implementation plan and update sexual harassment and bullying policy. Roll-out of SATC curriculum scheduled for 2nd semester of 2022-2023 school year. Director of CNMI Programs provided on site training and technical assistance during most of the contract period.The HYSN Executive Director provided technical assistance on budget revisions, no-cost extension of time, and reporting.Provide copies of any teen pregnancy and STI prevention print, video, and/or web-based materials designed for Asian and Pacific Islander youth that HYSN creates during the contract period. Provided access to brochures on disaster preparedness in multiple Pacific Island and Asian languages during the April June quarter.Work with PSS staff to promote community and parent support of teen pregnancy and STI prevention education. Provided support for HOPE training during this period.Work with PSS staff to design, develop, test, and distribute promotional materials related to the PREP and SRAE projects.HYSN created a PowerPoint demonstrating the positive outcomes of the teen pregnancy prevention program using the CY21 birthrate data.Work with PSS staff to disseminate outcomes achieved in the PREP and SRAE programs since inception including reduction in teen birth rate and sexual health risk factors and increases in protective factors that reduce risk of unplanned pregnancy and STIs. Includes, but is not limited to, conference and grantee meeting workshops and poster sessions; reports; and press releases. Updated presentations materials are available for use (see above).Provide information on best and promising practices in youth work, resources, data, training opportunities and more via the monthly HYSN electronic newsletter and e-mail broadcasts. E-newsletter is published monthly and received by 79 CNMI residents. Shared information on other resources with PREP Director and PREP Coordinator via e-mail.Assist PSS staff in educating government employees, elected officials, and community members about youth issues in the CNMI (including unplanned pregnancy and STIs), and efforts by the PSS to address youth needs and issues through the PREP and SRAE grants. Continuing to work with PREP staff to orient and educate new FYSB Project Officer, Cheri Thompson. Responded to request by FYSB staff for resources for a survivor of sex trafficking in the CNMI during the April to June quarter.Provide consultation and advice via phone, e-mail, and in-person as needed and appropriate. Ongoing throughout contract period.Provide training and technical assistance on federal grant writing, grants management, and sustainability. Provided technical assistance on budget revision and semi-annual reporting. Reviewed notice of funding availability to determine if the PSS was eligible to apply (It was not eligible). Provide information to federal staff about impact of any disasters or events affecting public school operations and specifically about the PREP and/or SRAE programs. Nothing that needed to be reported during this reporting period.In cooperation with PREP staff, ensure that all performance measure data required by the PREP program is collected and submitted. Ensure that data needed to measure progress toward objectives is collected, analyzed, and used in the quality improvement process. All data has been collected, reviewed, and submitted in a timely fashion.Assist in preparation of 6-month and end-of-year progress reports, and non-competitive continuation proposals. Assisted in preparation in of PREP performance reports.Participate in periodic conference calls with federal staff. Participated in scheduled calls with federal program staff.Send an HYSN representative to the 2022 teen pregnancy grantee meeting and/or topical training. The HYSN Executive Director attended the grantee meeting in June. She presented a poster titled, Pacific Islander Youth Reactions to the COVID Pandemic.Meet with PSS staff in Hawaii and/or CNMI at least twice per year. The Director, CNMI Programs has been in Saipan during most reporting period.Coordinate the data management and evaluation of the PREP Project.Maintain a computer-based data management system that:Enables students to take pre- and post-tests and student entry/exit surveys on computer.Transmits the student responses electronically to HYSN.Enables PSS and HYSN staff to report outcomes by individual class, school, or for the full CNMI.Maintains student confidentiality.Ongoing throughout contract period.Compile and analyze internal evaluation data including student demographic and attendance data, and pre-post-tests; training evaluations; and needs assessments. Ensure that data is submitted as required. Ongoing throughout contract period.Utilize vital statistics, Youth Risk Behavioral survey, and other data to track the impact of the PREP program on teen birth rates and sexual risk behavior Created PowerPoint using latest teen birth data.Provide training and technical assistance to increase the capacity of the PSS to conduct evaluation. Provided support for continuous quality improvement sessions.Seek opportunities to share lessons learned and successes in teen pregnancy/STI prevention and positive youth development with other professionals and colleagues through presentations at local, regional, national, and/or international conferences or articles published in professional journals. Conducted a poster session at the 2022 American Public Health Association about the impact of COVID on adolescents in the CNMI. Conduct a similar presentation at the Hawaii International Summit on Violence Abuse and Trauma in March 2022.Conducted a workshop on Impact of the COVID Pandemic on Pacific Islander Youth in August 2022.Assist PSS staff in needs assessment and planning for sustainability of PREP and SRAE programs and for new projects and program expansion. Ongoing throughout contract period. HYSN is prepared to offer training on sustainability and grant writing to PSS staff when conditions allow.Assist PSS staff in identification of potential funding sources, and preparation and submission of new funding applications.Nothing new during this reporting period. OTHER PROGRAM SERVICES 5: Other programs |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Membership is limited to corporations, unincorporated associations, and other organizations, and branch offices or divisions thereof, including for profit as well as not-for-profit organizations, and including foreign as well as Hawaii organizations, that provide services in Hawaii to Hawaii youth, andb) youth groups who provide services in the public interest. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | A draft of the 990 is reviewed by the Executive Director and former Accountant. Copies are shared with Finance Committee members. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | All board members complete an annual conflict of interest declaration. Members with conflicts are required to recuse themselves from voting on any issues that would financially benefit organizations they represent. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | To set the executive director's compensation, the board uses non-profit salary reports and personal knowledge (several board members are executive directors of other nonprofit). The board approves the compensation annually. |
| Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection | Copies of Form 990 is available upon request. 990s are also available on Guidestar.org. The organization originally filed a Form 1024, which is also available upon request. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Audited statements and minutes of meetings of board of directors are available upon request. |
| Software ID: | 21013475 |
| Software Version: | 2021v4.1 |