TY 2021 Form 990

(A)
Name and title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(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

(1) Serena Sebring......................................................................
Executive Director

40
.................
0

107,324

(2) Marcus Bass......................................................................
Chair

0.29
.................

(3) Conen Morgan......................................................................
Secretary

0.29
.................
0

(4) Elena Everett......................................................................
Treasurer

0.29
.................
0

(5) Allison Riggs......................................................................
Director

0.29
.................
0

(6) Larsene Talyor......................................................................
Director

0.29
.................
0

(7) Linda Stout......................................................................
Director

0.29
.................
0

(8) Alyssa Canty......................................................................
Director

0.29
.................
0

(9) Bruno Hinojosa......................................................................
Director

0.29
.................
0

(10) Ash-Lee Henderson......................................................................
Director

0.29
.................
0

(11) Juvencio Rocha-Peralta......................................................................
Director

0.29
.................
0

(A)
Name and title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(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 business address

(B)
Description of services

Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet

- 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

BLUEPRINT NORTH CAROLINA

Employer identification number

27-2459538

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.") ..	1,328,863	5,984,105	4,011,362	15,590,389	7,434,726	34,349,445
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	1,328,863	5,984,105	4,011,362	15,590,389	7,434,726	34,349,445
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.						34,349,445

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..	1,328,863	5,984,105	4,011,362	15,590,389	7,434,726	34,349,445
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	3,854	5,769	5,937	23,782	5,757	45,099
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						34,394,544

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)) .........

99.869 %

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

99.851 %

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.") .
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.)

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...
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.)..

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)) .........

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

Section D. Computation of Investment Income Percentage

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

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

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

Schedule A (Form 990) 2021

Additional Data

Software ID:	21013178
Software Version:	v1.00

	(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 ........


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


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

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
BLUEPRINT NORTH CAROLINA

Employer identification number
27-2459538

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant
(1) A Better Chance A Better Community 362 Williams Scott Road Enfield,NC27823	80-0948099	501(c)3	10,000
(2) A Better Chance A Better Community 362 Williams Scott Road Enfield,NC27823	80-0948099	501(c)3	50,000
(3) ADORA 5824 Forest Point Road Raleigh,NC27610	46-2206518	501(c)3	7,000
(4) ADORA 5824 Forest Point Road Raleigh,NC27610	46-2206518	501(c)3	6,000
(5) A Better Chance A Better Community 362 Williams Scott Road Enfield,NC27823	80-0948099	501(c)3	15,000
(6) A Better Chance A Better Community 362 Williams Scott Road Enfield,NC27823	80-0948099	501(c)3	25,000
(7) A Better Chance A Better Community 362 Williams Scott Road Enfield,NC27823	80-0948099	501(c)3	25,000
(8) A Better Chance A Better Community 362 Williams Scott Road Enfield,NC27823	80-0948099	501(c)3	79,500
(9) A Better Chance A Better Community 362 Williams Scott Road Enfield,NC27823	80-0948099	501(c)3	10,000
(10) A Better Chance A Better Community 362 Williams Scott Road Enfield,NC27823	80-0948099	501(c)3	50,000
(11) A Better Chance A Better Community 362 Williams Scott Road Enfield,NC27823	80-0948099	501(c)3	10,000
(12) A Better Chance A Better Community 362 Williams Scott Road Enfield,NC27823	80-0948099	501(c)3	21,500
(13) A Better Chance A Better Community 362 Williams Scott Road Enfield,NC27823	80-0948099	501(c)3	30,000
(14) Action Institute NC 3601 Central Avenue Charlotte,NC28205	56-1088116	501(c)3	21,500
(15) Inter-Faith Council for Social Service 110 West Main Street Carrboro,NC27510	59-1224041	501(c)3	10,000
(16) Alliance for Climate Education 529 Main Street Suite 200 Charlestown,MA02129	26-3106566	501(c)3	10,000
(17) Alliance for Climate Education 529 Main Street Suite 200 Charlestown,MA02129	26-3106566	501(c)3	56,188
(18) Alliance for Climate Education 529 Main Street Suite 200 Charlestown,MA02129	26-3106566	501(c)3	61,600
(19) Alpha Life Enrichment Center 131 Griffins Beach Road Washington,NC27889	56-1858272	501(c)3	15,000
(20) Alpha Life Enrichment Center 131 Griffins Beach Road Washington,NC27889	56-1858272	501(c)3	12,500
(21) Alpha Life Enrichment Center 131 Griffins Beach Road Washington,NC27889	56-1858272	501(c)3	10,500
(22) Alphalife Enrichment Center Inc 131 Griffins Beach Road Washington,NC27889	56-1858272	501(c)3	12,750
(23) Alphalife Enrichment Center Inc 131 Griffins Beach Road Washington,NC27889	56-1858272	501(c)3	10,500
(24) Alphalife Enrichment Center Inc 131 Griffins Beach Road Washington,NC27889	56-1858272	501(c)3	8,000
(25) Amani Collective 2920 Flint Ridge Road Greenville,NC27834	87-4314187	501(c)3	21,500
(26) AMEXCAN PO BOX 2744 Greenville,NC27836	94-3421627	501(c)3	15,000
(27) AMEXCAN PO BOX 2744 Greenville,NC27836	94-3421627	501(c)3	60,000
(28) AMEXCAN PO BOX 2744 Greenville,NC27836	94-3421627	501(c)3	10,000
(29) AMEXCAN PO BOX 2744 Greenville,NC27836	94-3421627	501(c)3	10,000
(30) Angel Guardian Inc 4917 Professional Court Suite 203 Raleigh,NC27609	46-2206518	501(c)3	8,000
(31) Angel Guardian Inc 4917 Professional Court Suite 203 Raleigh,NC27609	46-2206518	501(c)3	7,000
(32) Antonio Blow Ministries PO Box 192 Snow Hill,NC28580	87-3257527	501(c)3	21,500
(33) Armed Margins LLC 5710 West Gate City Blvd Suite K 147 Greensboro,NC27407	84-4737829	501(c)3	21,500
(34) Armed Margins LLC 5710 West Gate City Blvd Suite K 147 Greensboro,NC27407	84-4737829	501(c)3	53,000
(35) Armed Margins LLC 5710 West Gate City Blvd Suite K 147 Greensboro,NC27407	84-4737829	501(c)3	10,500
(36) Asheville Creative Arts 87 Old Cove Road Black Mountain,NC28711	46-4551364	501(c)3	15,000
(37) Asheville Creative Arts 87 Old Cove Road Black Mountain,NC28711	46-4551364	501(c)3	6,000
(38) Carolina Common Enterprise PO Box 12408 Durham,NC27709	46-0568407	501(c)3	7,000
(39) Asheville Creative Arts 87 Old Cove Road Black Mountain,NC28711	46-4551364	501(c)3	6,000
(40) Carolina Justice Policy Center 1803 Chapel Hill Dr Durham,NC27707	59-1755809	501(c)3	10,000
(41) Asheville Creative Arts 87 Old Cove Road Black Mountain,NC28711	46-4551364	501(c)3	6,000
(42) Asheville Creative Arts 87 Old Cove Road Black Mountain,NC28711	46-4551364	501(c)3	7,000
(43) Asheville Creative Arts 87 Old Cove Road Black Mountain,NC28711	46-4551364	501(c)3	21,500
(44) Asociacion Dominicana de Raleigh 4917 Professional Court Suite 203 Raleigh,NC27609	46-2362692	501(c)3	21,500
(45) Be Connected Durham & Beyond Inc 900 South Roxboro Street Durham,NC27707	47-5508508	501(c)3	21,500
(46) Black Voters Matter Fund 4751 Best Road Ste 200 Atlanta,GA30337	82-3835203	501(c)3	50,000
(47) Blue Springs-Hoke County Community Development Corporation PO Box 157 Raeford,NC28376	56-1941518	501(c)3	10,500
(48) Bull City Prep Foundation Inc 1910 Sedwick Road Ste 500-B Durham,NC27713	83-1795522	501(c)3	15,000
(49) Bull City Prep Foundation Inc 1910 Sedwick Road Ste 500-B Durham,NC27713	83-1795522	501(c)3	15,000
(50) Bull City Prep Foundation Inc 1910 Sedwick Road Ste 500-B Durham,NC27713	83-1795522	501(c)3	10,500
(51) Carolina Jews for Justice 2814 Montgomery Street Durham,NC27705	46-5562132	501(c)3	7,750
(52) Companenors Immigrantes de las Montanas en Accion 528 Emma Road Asheville,NC28806	20-8303608	501(c)3	15,000
(53) Colaborativa La Milpa 528 Emma Road Asheville,NC28806	20-8303608	501(c)3	6,000
(54) Casa Azul de Wilson 4309 Pine Tree Court Wilson,NC27893	87-3076221	501(c)3	21,500
(55) Casa Azul de Wilson 4309 Pine Tree Court Wilson,NC27893	87-3076221	501(c)3	25,000
(56) Casa Azul de Wilson 4309 Pine Tree Court Wilson,NC27893	87-3076221	501(c)3	10,000
(57) Center for Energy Education 460 Airport Road Roanoke Rapids,NC27870	47-2079791	501(c)3	8,000
(58) Centro Unido Latino Americano 79 Academy Street Marion,NC28752	56-2678411	501(c)3	7,000
(59) Centro Unido Latino Americano 79 Academy Street Marion,NC28752	56-2678411	501(c)3	6,000
(60) Comite de Accion Popular PO Box 51698 Durham,NC27717	20-8303608	501(c)3	6,000
(61) Centro Unido Latino Americano 79 Academy Street Marion,NC28752	56-2678411	501(c)3	10,000
(62) Church World Service PO Box 968 Elkhart,IN46515	13-4080201	501(c)3	45,000
(63) Church World Service PO Box 968 Elkhart,IN46515	13-4080201	501(c)3	11,000
(64) Church World Service PO Box 968 Elkhart,IN46515	13-4080201	501(c)3	10,000
(65) CityGate Dream Center 1423 N Church Street Burlington,NC27217	82-5426624	501(c)3	10,500
(66) Columbus County Forum 777 Vinson Boulevard Whiteville,NC28472	83-0714472	501(c)3	21,500
(67) Columbus County Forum 777 Vinson Boulevard Whiteville,NC28472	83-0714472	501(c)3	9,650
(68) Columbus County Forum 777 Vinson Boulevard Whiteville,NC28472	83-0714472	501(c)3	6,750
(69) Columbus County Forum 777 Vinson Boulevard Whiteville,NC28472	83-0714472	501(c)3	21,500
(70) Columbus County Forum 777 Vinson Boulevard Whiteville,NC28472	83-0714472	501(c)3	7,750
(71) Columbus County Forum 777 Vinson Boulevard Whiteville,NC28472	83-0714472	501(c)3	18,750
(72) Columbus County Forum 777 Vinson Boulevard Whiteville,NC28472	83-0714472	501(c)3	9,650
(73) Common Cause Education Fund 805 15th St NW Suite 800 Washington,DC20005	31-1705370	501(c)3	8,000
(74) Common Cause Education Fund 805 15th St NW Suite 800 Washington,DC20005	31-1705370	501(c)3	54,000
(75) Common Cause Education Fund 805 15th St NW Suite 800 Washington,DC20005	31-1705370	501(c)3	50,000
(76) Common Cause Education Fund 805 15th St NW Suite 800 Washington,DC20005	31-1705370	501(c)3	68,000
(77) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	7,000
(78) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	8,000
(79) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	6,000
(80) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	21,500
(81) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	10,000
(82) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	10,000
(83) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	10,000
(84) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	10,000
(85) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	10,000
(86) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	10,000
(87) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	10,000
(88) Comunidad Vida Nueva Inc 5824 Forest Point Road Raleigh,NC27610	20-4348860	501(c)3	21,500
(89) Democracy North Carolina 3000 Aerial Center Parkway Suite 160 Morrisville,NC27560	56-2271150	501(c)3	10,000
(90) Democracy North Carolina 3000 Aerial Center Parkway Suite 160 Morrisville,NC27560	56-2271150	501(c)3	20,000
(91) Democracy North Carolina 3000 Aerial Center Parkway Suite 160 Morrisville,NC27560	56-2271150	501(c)3	42,000
(92) Democracy North Carolina 3000 Aerial Center Parkway Suite 160 Morrisville,NC27560	56-2271150	501(c)3	10,000
(93) Democracy North Carolina 3000 Aerial Center Parkway Suite 160 Morrisville,NC27560	56-2271150	501(c)3	700,000
(94) Democracy North Carolina 3000 Aerial Center Parkway Suite 160 Morrisville,NC27560	56-2271150	501(c)3	7,000
(95) Disability Rights North Carolina 3724 National Drive Suite 100 Raleigh,NC27608	56-1243369	501(c)3	10,000
(96) Disability Rights North Carolina 3724 National Drive Suite 100 Raleigh,NC27608	56-1243369	501(c)3	15,000
(97) Episcopal Farmworker Ministry PO Box 1336 Kinston,NC28503	56-0552784	501(c)3	15,000
(98) Episcopal Farmworker Ministry PO Box 1336 Kinston,NC28503	56-0552784	501(c)3	6,000
(99) Episcopal Farmworker Ministry PO Box 1336 Kinston,NC28503	56-0552784	501(c)3	8,000
(100) Disability Rights North Carolina 3724 National Drive Suite 100 Raleigh,NC27608	56-1243369	501(c)3	10,000
(101) Disability Rights North Carolina 3724 National Drive Suite 100 Raleigh,NC27608	56-1243369	501(c)3	25,000
(102) Disability Rights North Carolina 3724 National Drive Suite 100 Raleigh,NC27608	56-1243369	501(c)3	10,000
(103) Disability Rights North Carolina 3724 National Drive Suite 100 Raleigh,NC27608	56-1243369	501(c)3	50,000
(104) Disability Rights North Carolina 3724 National Drive Suite 100 Raleigh,NC27608	56-1243369	501(c)3	35,000
(105) Faith &VICTORY CHRISTIAN CHURCH 1048 Horseshoe Road Elizabeth City,NC27909	56-1778021	501(c)3	11,700
(106) Faith Action International 2211 West Meadowview Road Suite 10 Greensboro,NC27407	20-1760935	501(c)3	7,000
(107) Total Outreach Ministry Project Inc 702 West Raleigh Boulevard Rocky Mount,NC27803	56-2086766	501(c)3	13,250
(108) El Pueblo 2321 Crabtree Blvd Ste 105 Raleigh,NC27604	56-1934310	501(c)3	10,000
(109) El Pueblo 2321 Crabtree Blvd Ste 105 Raleigh,NC27604	56-1934310	501(c)3	15,000
(110) El Pueblo 2321 Crabtree Blvd Ste 105 Raleigh,NC27604	56-1934310	501(c)3	10,000
(111) El Pueblo 2321 Crabtree Blvd Ste 105 Raleigh,NC27604	56-1934310	501(c)3	120,000
(112) El Pueblo 2321 Crabtree Blvd Ste 105 Raleigh,NC27604	56-1934310	501(c)3	10,500
(113) El Pueblo 2321 Crabtree Blvd Ste 105 Raleigh,NC27604	56-1934310	501(c)3	10,000
(114) Emancipate NC 603 Hadrian Dr Garner,NC27529	59-1755809	501(c)3	21,500
(115) Emancipate NC 603 Hadrian Dr Garner,NC27529	59-1755809	501(c)3	21,500
(116) Emmanuel Social Action Ministry 1075 Shalimar Drive Winston Salem,NC27107	56-1153044	501(c)3	10,500
(117) Equality NC Foundation 4621 Reigal Wood Road Durham,NC27712	58-1374041	501(c)3	10,000
(118) Equality NC Foundation 4621 Reigal Wood Road Durham,NC27712	58-1374041	501(c)3	10,000
(119) Equality NC Foundation 4621 Reigal Wood Road Durham,NC27712	58-1374041	501(c)3	10,500
(120) Eveangel H Savage LLC 301 Saint Andrews Drive Greenville,NC27834	82-1108440	LLC	13,250
(121) Faith and Victory Christian Church 1046 1/2 Horseshoe Road Elizabeth City,NC27909	56-1778021	501(c)3	8,000
(122) Faith and Victory Christian Church 1046 1/2 Horseshoe Road Elizabeth City,NC27909	56-1778021	501(c)3	8,000
(123) Faith and Victory Christian Church 1046 1/2 Horseshoe Road Elizabeth City,NC27909	56-1778021	501(c)3	25,000
(124) Faith and Victory Christian Church 1046 1/2 Horseshoe Road Elizabeth City,NC27909	56-1778021	501(c)3	15,000
(125) Faith and Victory Christian Church 1046 1/2 Horseshoe Road Elizabeth City,NC27909	56-1778021	501(c)3	10,000
(126) Faith and Victory Christian Church 1046 1/2 Horseshoe Road Elizabeth City,NC27909	56-1778021	501(c)3	21,500
(127) FaithAction International House 2211 W Meadowview Rd Greensboro,NC27407	56-1993490	501(c)3	7,000
(128) Fayetteville NAACP 707 Murchison Road Fayetteville,NC28301	56-6061813	501(c)3	21,500
(129) Fayetteville PACT 4607 Woodline Drive Fayetteville,NC28314	85-1711407	501(c)3	10,000
(130) Fayetteville PACT 4607 Woodline Drive Fayetteville,NC28314	85-1711407	501(c)3	8,000
(131) Fayetteville Police Accountability Community Taskforce PO Box 25667 Fayetteville,NC28314	85-1711407	501(c)3	21,500
(132) FCLM Foundation 703 Cliffside Avenue High Point,NC27260	86-2572208	501(c)3	21,500
(133) FMBC of Magnolia Ministries Inc 423 West Carrol St Magnolia,NC28453	87-2673675	501(c)3	8,000
(134) FMBC of Magnolia Ministries Inc 423 West Carrol St Magnolia,NC28453	87-2673675	501(c)3	10,000
(135) FMBC of Magnolia Ministries Inc 423 West Carrol St Magnolia,NC28453	87-2673675	501(c)3	21,500
(136) FMBC of Magnolia Ministries Inc 423 West Carrol St Magnolia,NC28453	87-2673675	501(c)3	7,000
(137) Good Neighbor Movement 1601 Vance Street Greensboro,NC27406	56-6088754	501(c)3	10,800
(138) Harvesting Humanity LLC 3515 David Cox Road Unit 481748 Charlotte,NC28269	83-2887862	501(c)3	5,400
(139) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	7,000
(140) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	7,000
(141) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	6,000
(142) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	6,000
(143) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	7,000
(144) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	31,000
(145) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	30,130
(146) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	10,000
(147) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	8,000
(148) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	10,000
(149) Iglesia La Semilla 805 Clarendon Street Durham,NC27705	56-0727845	501(c)3	7,000
(150) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	10,000
(151) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	10,000
(152) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	8,000
(153) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	17,820
(154) Fuerza and Union Multiple 715 Harriett St henderson,NC27536	36-4939343	501(c)3	10,000
(155) Future Endeavors Life Program 6380 Cliffdale Road Ste 26001 Fayetteville,NC28314	47-1412835	501(c)3	10,500
(156) Gate City Youth Council NAACP PO Box 8440 Greensboro,NC27419	45-2941415	501(c)3	13,250
(157) Giver of Destiny Corporation 400 Harrel Street Salisbury,NC28144	81-0870450	501(c)3	21,500
(158) Grace Covenant Presbyterian Church 789 Merrimon Avenue Asheville,NC28804	56-0588479	501(c)3	10,000
(159) Greenleaf Canvassing LLC 1100 Logger Court Suite C103 Raleigh,NC27609	83-4114643	501(c)3	25,000
(160) Hate Free Schools Coalition 100 Village Drive Mebane,NC27302	82-2373812	501(c)3	21,500
(161) Hispanic Federation Inc 55 Exchange Place Suite 501 New York,NY11102	13-3573852	501(c)3	100,000
(162) Hispanic Federation Inc 55 Exchange Place Suite 501 New York,NY11102	13-3573852	501(c)3	64,000
(163) El Vinculo Hispano 200 North Chatham Avenue Siler City,NC27344	56-1971043	501(c)3	6,000
(164) El Vinculo Hispano 200 North Chatham Avenue Siler City,NC27344	56-1971043	501(c)3	10,000
(165) League of Women Voters of the Lower Cape Fear PO Box 4503 Wilmington,NC28406	23-7246224	501(c)3	5,650
(166) Image 127 203 Sandbar Circle 2B Greensboro,NC27406	83-4530323	501(c)3	18,750
(167) Inter-Faith Council for Social Service 110 West Main Street Carrboro,NC27510	59-1224041	501(c)3	16,200
(168) Immersion for Spanish Language 1502 North Carolina 54 SUITE 405 Durham,NC27707	45-5336885	501(c)3	6,000
(169) Kinston Lenoir County NAACP PO Box 805 Kinston,NC28502	13-1084135	501(c)3	18,750
(170) Kinston Teens Inc PO Box 2625 Kinston,NC28502	47-2645211	501(c)3	15,000
(171) Kinston Teens Inc PO Box 2625 Kinston,NC28502	47-2645211	501(c)3	25,000
(172) Kinston Teens Inc PO Box 2625 Kinston,NC28502	47-2645211	501(c)3	9,680
(173) Kinston Teens Inc PO Box 2625 Kinston,NC28502	47-2645211	501(c)3	13,250
(174) Kinston Teens Inc PO Box 2625 Kinston,NC28502	47-2645211	501(c)3	10,000
(175) Kreationz by Ko LLC 1737 East Cornwallis Road Apt P Durham,NC27713	85-1686012	501(c)3	21,500
(176) NC Association of CDCs 110 Fountain Park Drive Suite J23 Battleboro,NC27809	58-1871946	501(c)3	15,000
(177) Latino Advocacy Coalition of Henderson County Inc 508 North Grove Street Hendersonville,NC28792	56-2267574	501(c)3	13,000
(178) Latino Advocacy Coalition of Henderson County Inc 508 North Grove Street Hendersonville,NC28792	56-2267574	501(c)3	21,500
(179) Let's Make it Happen Together Inc PO Box 9021 Fayetteville,NC28311	47-1558850	501(c)3	21,500
(180) New Hanover County NAACP 719 Walnut Street Wilmington,NC28401	13-1084135	501(c)3	7,750
(181) Men and Women United for Youth and Families PO Box 315 Delco,NC28436	16-1770367	501(c)3	10,000
(182) Men and Women United for Youth and Families PO Box 315 Delco,NC28436	16-1770367	501(c)3	21,500
(183) Men and Women United for Youth and Families PO Box 315 Delco,NC28436	16-1770367	501(c)3	21,500
(184) Morrisville Education and Community Service Enterprise LLC 6608 Kit Creek Road Morrisville,NC27560	73-1687800	501(c)3	21,500
(185) Nariah's Way Foundation 227 Clyde Street Biscoe,NC27209	47-1973460	501(c)3	10,500
(186) National Black Leadership Caucus Southeastern Region 1213 Culbreth Drive Suite 321 Wilmington,NC28405	82-4886203	501(c)3	21,500
(187) NC A Philip Randolph Institute Inc PO Box 10428 Raleigh,NC27605	47-3555626	501(c)3	15,000
(188) NC A Philip Randolph Institute Inc PO Box 10428 Raleigh,NC27605	47-3555626	501(c)3	10,000
(189) NC A Philip Randolph Institute Inc PO Box 10428 Raleigh,NC27605	47-3555626	501(c)3	320,000
(190) Pasquotank NAACP 104 Grand View Drive Elizabeth City,NC27909	13-1084135	501(c)3	21,500
(191) Peletah Ministries 1909 Trent Blvd PO Box 14253 New Bern,NC28561	61-1662965	501(c)3	15,000
(192) Peletah Ministries 1909 Trent Blvd PO Box 14253 New Bern,NC28561	61-1662965	501(c)3	26,500
(193) NC Aids Action Network PO Box 25044 Durham,NC27611	32-0323779	501(c)3	7,750
(194) NC Congress of Latino Organization 4907 Garrett Road Durham,NC27707	51-0526332	501(c)3	15,000
(195) NC Congress of Latino Organization 4907 Garrett Road Durham,NC27707	51-0526332	501(c)3	50,000
(196) NC PIRG Education Fund 19 West Hargett Street Suite 405 Raleigh,NC27603	56-2152392	501(c)3	15,000
(197) NCCU Wesley Campus Foundation Ministry PO Box 20015-C 1801 Fayetteville St Durham,NC27707	36-2167731	501(c)3	21,500
(198) New North Carolina Project Foundation 6012 Bayfield Parkway Suite 142 Concord,NC28027	86-3224686	501(c)3	10,000
(199) Raleigh Youth Chapter - APRI 1408 Hillsborough Street Raleigh,NC27609	46-3174721	501(c)3	8,000
(200) Raleigh Youth Chapter - APRI 1408 Hillsborough Street Raleigh,NC27609	46-3174721	501(c)3	7,750
(201) New North Carolina Project Foundation 6012 Bayfield Parkway Suite 142 Concord,NC28027	86-3224686	501(c)3	10,000
(202) North Carolina Asian Americans Together 711 Hillsborough St Suite 102 Raleigh,NC27603	81-3125435	501(c)3	15,000
(203) North Carolina Asian Americans Together 711 Hillsborough St Suite 102 Raleigh,NC27603	81-3125435	501(c)3	10,000
(204) North Carolina Asian Americans Together 711 Hillsborough St Suite 102 Raleigh,NC27603	81-3125435	501(c)3	15,000
(205) North Carolina Asian Americans Together 711 Hillsborough St Suite 102 Raleigh,NC27603	81-3125435	501(c)3	15,000
(206) North Carolina Association of Community Development Corporation 110 Fountain Park Drive Ste SJ23 Battleboro,NC27809	58-1871946	501(c)3	7,500
(207) North Carolina Public Interest Research Group Education Fund Inc 19 West Hargett Street Suite 405 Raleigh,NC27601	56-2152392	501(c)3	10,000
(208) North Carolina Voters for Clean Elections PO Box 10402 Raleigh,NC27605	56-2129334	501(c)3	25,000
(209) Onslow County NAACP 5428 109 Daniel Court Richlands,NC28574	56-1730859	501(c)3	10,500
(210) Orange County Translatinas 801 North Loara Street Apt 222 Anaheim,CA92801	85-1255597	501(c)3	10,500
(211) Orange County Translatinas 801 North Loara Street Apt 222 Anaheim,CA92801	85-1255597	501(c)3	15,000
(212) Orchid Bloom 5612 Quitman Trail Raleigh,NC27610	47-2406659	501(c)3	15,000
(213) Orchid Bloom 5612 Quitman Trail Raleigh,NC27610	47-2406659	501(c)3	21,500
(214) Partners in Community Inc 469 Lancaster Woods Drive Supply,NC28462	87-4830087	501(c)3	12,500
(215) Partners in Community Inc 469 Lancaster Woods Drive Supply,NC28462	87-4830087	501(c)3	27,500
(216) Partners in Community Inc 469 Lancaster Woods Drive Supply,NC28462	87-4830087	501(c)3	21,500
(217) Pender United 111 East Fremont Street Burgaw,NC28425	83-2560847	501(c)3	10,000
(218) Pender United 111 East Fremont Street Burgaw,NC28425	83-2560847	501(c)3	25,236
(219) Pender United 111 East Fremont Street Burgaw,NC28425	83-2560847	501(c)3	16,000
(220) Pender United 111 East Fremont Street Burgaw,NC28425	83-2560847	501(c)3	9,250
(221) Pitt County NAACP 2412 Grimes Street Winterville,NC28590	13-1084135	501(c)3	21,500
(222) Poder NC Action 1101 Haynes St Suite 205 RALEIGH,NC27604	84-2828142	501(c)3	94,172
(223) Student Action with Farmworkers 1317 West Pettigrew Street Durham,NC27705	56-1789014	501(c)3	6,000
(224) Providence Omnistructure 600 North Smithwick Street Williamston,NC27892	88-2564115	501(c)3	21,500
(225) Ready Set Fitness 3100 Genlee Drive Durham,NC27704	46-1204096	501(c)3	7,750
(226) RREPS 3220 Burntwood Circle Raleigh,NC27610	83-3745461	501(c)3	21,500
(227) Scotland Neck Community Task Force Team PO Box 361 Scotland Neck,NC27874	82-4455514	501(c)3	13,250
(228) Selfless Nonprofit Organization 4200 US Hwy 29 N TRLR 436 Greensboro,NC27405	87-3030066	501(c)3	13,250
(229) Shackle Free Community Outreach Agency Inc 224 West College Street Warsaw,NC28398	83-4541531	501(c)3	21,500
(230) Shackle Free Community Outreach Agency Inc 224 West College Street Warsaw,NC28398	83-4541531	501(c)3	13,000
(231) Sign Scientist 335 Sherwee Dr Unit 103 Raleigh,NC27603	81-4288582	501(c)3	359,609
(232) Sol Nation 5009 Beatties Ford Road Ste 107-248 Charlotte,NC28216	82-2998095	501(c)3	10,000
(233) Sol Nation 5009 Beatties Ford Road Ste 107-248 Charlotte,NC28216	82-2998095	501(c)3	25,000
(234) Sol Nation 5009 Beatties Ford Road Ste 107-248 Charlotte,NC28216	82-2998095	501(c)3	25,000
(235) Sol Nation 5009 Beatties Ford Road Ste 107-248 Charlotte,NC28216	82-2998095	501(c)3	59,300
(236) Little Rock Cd 401 N Myers St Charlotte,NC28202	20-4297209	501(c)3	21,500
(237) Southern Vision Alliance PO Box 51698 Durham,NC27717	61-1639641	501(c)3	10,000
(238) Southern Vision Alliance PO Box 51698 Durham,NC27717	61-1639641	501(c)3	10,000
(239) Southern Vision Alliance PO Box 51698 Durham,NC27717	61-1639641	501(c)3	12,500
(240) Valor X 1423 North Church St Burlington,NC27717	82-5426624	501(c)3	6,000
(241) Southern Vision Alliance PO Box 51698 Durham,NC27717	61-1639641	501(c)3	16,000
(242) Southern Vision Alliance PO Box 51698 Durham,NC27717	61-1639641	501(c)3	10,000
(243) Spirit in Action 21 Wilbraham St Suite 103-D Palmer,MA01069	38-3655028	501(c)3	15,000
(244) Spirit in Action 21 Wilbraham St Suite 103-D Palmer,MA01069	38-3655028	501(c)3	15,000
(245) Spiritual Destiny 1003 Red Hill Road Mount Olive,NC28365	04-3837892	501(c)3	7,500
(246) Spiritual Destiny 1003 Red Hill Road Mount Olive,NC28365	04-3837892	501(c)3	6,700
(247) Spiritual Destiny 1003 Red Hill Road Mount Olive,NC28365	04-3837892	501(c)3	6,000
(248) Sunshine Station Inc 104 Grandview Drive Elizabeth City,NC27909	82-2708091	501(c)3	25,000
(249) Sunshine Station Inc 104 Grandview Drive Elizabeth City,NC27909	82-2708091	501(c)3	7,500
(250) TFBU Foundation 105 West Commerce Street Oak City,NC27857	83-0717504	501(c)3	21,500
(251) The Capers' Cares Foundation 835 Marilee Glen Court Durham,NC27705	88-0748008	501(c)3	21,500
(252) The Cornerstone CDC 103 South Front Street Warsaw,NC28398	27-1213068	501(c)3	7,000
(253) The Cornerstone CDC 103 South Front Street Warsaw,NC28398	27-1213068	501(c)3	10,500
(254) The Cornerstone CDC 103 South Front Street Warsaw,NC28398	27-1213068	501(c)3	16,000
(255) The Cornerstone CDC 103 South Front Street Warsaw,NC28398	27-1213068	501(c)3	7,000
(256) The Help Center NC 105 Siltstone Drive Franklinton,NC27525	81-2981122	501(c)3	21,500
(257) The Sanctuary in the City 116 Woodhall Drive Huntersville,NC28078	82-5025260	501(c)3	10,000
(258) The Sanctuary in the City 116 Woodhall Drive Huntersville,NC28078	82-5025260	501(c)3	16,200
(259) The Sanctuary in the City 116 Woodhall Drive Huntersville,NC28078	82-5025260	501(c)3	10,000
(260) Tlazocamati LTD 6046 Burlington Road Sedalia,NC27249	88-1098595	501(c)3	8,000
(261) Tlazocamati LTD 6046 Burlington Road Sedalia,NC27249	88-1098595	501(c)3	21,500
(262) Tlazocamati LTD 6046 Burlington Road Sedalia,NC27249	88-1098595	501(c)3	10,000
(263) Unifour One 1 Centerview Drive Suite 302 Greensboro,NC27407	03-0437078	501(c)3	10,000
(264) Unifour One 1 Centerview Drive Suite 302 Greensboro,NC27407	03-0437078	501(c)3	13,000
(265) Unifour One 1 Centerview Drive Suite 302 Greensboro,NC27407	03-0437078	501(c)3	10,000
(266) Unifour One 1 Centerview Drive Suite 302 Greensboro,NC27407	03-0437078	501(c)3	86,400
(267) Unifour One 1 Centerview Drive Suite 302 Greensboro,NC27407	03-0437078	501(c)3	21,500
(268) Unifour One 1 Centerview Drive Suite 302 Greensboro,NC27407	03-0437078	501(c)3	35,000
(269) VoteRiders 171 Pier Avenue No 313 Santa Monica,CA90405	45-5081831	501(c)3	10,000
(270) WakeUP Wake County Inc 111 Old Williamson Road Raleigh,NC27603	86-1172522	501(c)3	20,000
(271) Wash Away Unemployment Inc 1317 Legacy Falls Drive 306 Wake Forest,NC27587	27-2192978	501(c)3	21,500
(272) Women Advance 2912 HIGHWOODS BLVD STE 204 Raleigh,NC27604	46-1039677	501(c)3	10,000
(273) Women Advance 2912 HIGHWOODS BLVD STE 204 Raleigh,NC27604	46-1039677	501(c)3	25,000
(274) Women Advance 2912 HIGHWOODS BLVD STE 204 Raleigh,NC27604	46-1039677	501(c)3	7,750
(275) Young Urban Professionals of ENC 222 Monterey Circle New Bern,NC28562	82-4457781	501(c)3	21,500

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

123

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2	Grantees are required to submit grant reports outlining use of funds in keeping with grant agreement(s).

Schedule I (Form 990) 2021

Additional Data

Software ID:	21013178
Software Version:	v1.00

Return Reference

Explanation

Form 990, Part VI, Section B, Line 11b

The Finance Committee of the Board of Directors are provided with a copy of the Form 990 electronically for their review, requesting written authorization before submission of the document

Form 990, Part VI, Section B, Line 12c

The Governance Committee of the Board of Directors reviews the conflict of interest policy regularly for any updates to the policy, and incorporates signing of the conflict of interest disclosure forms and collection of these forms into the Annual Meeting of the Board.

Form 990, Part VI, Section B, Line 15

To determine compensation for the organization's top management official and key employees of the organization, the Board of Directors, made up of independent persons, evaluated information about comparable compensation and deliberated to determine the appropriate compensation range for the organization. Documentation and deliberation is recorded in meeting minutes of the Board.

Form 990, Part VI, Section C, Line 19

Governing documents are made available to the public at the Organization's office upon written request.

Form 990, Part IX, Line 24e

Other programmatic expenses

Form 990, Part XI, Line 9

Adjustment to account for categorization of net assets

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	12,241,257	7,434,727
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	5,757
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	12,241,257	7,440,484
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	8,701,058	1,175,261
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,565,113	2,058,988
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	933	0
b	Total fundraising expenses (Part IX, column (D), line 25) 43,080
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,726,571	1,783,551
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	11,993,675	5,017,800
19	Revenue less expenses. Subtract line 18 from line 12.......	247,582	2,422,684
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,242,560	5,623,265
21	Total liabilities (Part X, line 26).............	658,933	801,373
22	Net assets or fund balances. Subtract line 21 from line 20.....	4,583,627	4,821,892

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 81,613 including grants of $ ) (Revenue $ 81,613 )
	Program 1) Voter Registration - Blueprint NC engaged in a robust voter registration effort in preparation for the 2021 municipal elections held all across North Carolina, particularly focusing on Latinx voters. Throughout 2021 Blueprint NC sought to make a more concerted effort to better support organizations who are engaged in Latinx civic engagement work around the state. The efforts helped reach the estimated 258,000+ eligible but unregistered Latinx North Carolinians.

4b	(Code: ) (Expenses $ 368,650 including grants of $ ) (Revenue $ 232,001 )
	Despite being an off-year election cycle, Blueprint NC and its partners made significant strides in voter mobilization and outreach during the 2021 municipal races. By supporting a diverse coalition of BPNC partners, we were able to help implement a multi-pronged approach to reach different constituencies of voters who have varying participation levels in the democratic process. In sum, thirteen Blueprint NC partners made 538,120 voter contact attempts. Out of these attempts, we were able to have 63,528 conversations with voters across the state. Furthermore, seven BPNC partners collected 13,617 voter registration applications throughout 2021. Lastly, fifteen BPNC partners organized voter mobilization events at approximately 20 locations statewide.

4c	(Code: ) (Expenses $ 102,821 including grants of $ ) (Revenue $ 175,000 )
	In 2020, BPNC and our partners learned more about how we can do movement building around issues like climate justice and make investments in political education and leadership development in earnest. Civic engagement needs to be year-round and community-focused, relying on our partners to bring forth the issues that impact their daily lives. In 2021, we emphasized the importance of sustained investment to make the long-lasting change we hope to have in the communities to which we are accountable. Supporting year-round engagement, sustainability and engaging those left out of the process will make a significant difference in expanding the electorate and making us a safer, healthier and more equitable North Carolina.

	(Code: ) (Expenses $ 3,307,264 including grants of $ ) (Revenue $ 3,385,000 )
	Blueprint North Carolina plays an important part as a convener of organizations in our state. Blueprint NC partners represent a diverse portfolio of organizations, not only in terms of their advocacy, but also with regards to size and scope. Many groups find themselves at different stages of their organizational life-cycle, especially when compared to others. Some partners we work with are formally incorporated 501(c)(3) organizations, while others rely upon Blueprint for fiscal sponsorship. Some have annual operating budgets in the five-digit range, while others may exceed $1 million or more.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 3,307,264 including grants of $ 0 ) (Revenue $ 3,385,000 )
4e	Total program service expenses3,860,348

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	107,324	0	0

1a	Federated campaigns..		1a	0
b	Membership dues..		1b	0
c	Fundraising events..		1c	0
d	Related organizations		1d	0
e	Government grants (contributions)		1e	0

f	All other contributions, gifts, grants, and similar amounts not included above		1f	7,434,727

g	Noncash contributions included in lines 1a - 1f:$		1g	0

h Total. Add lines 1a-1f.......		7,434,727

1	Briefly describe the organization’s mission or most significant activities: The Organization is a partnership of public policy, advocacy and grassroots organizing nonprofits dedicated to achieving a better, fairer, healthier North Carolina through the development of an integrated communications and civic engagement strategy.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	34
6	Total number of volunteers (estimate if necessary) .............	6	0
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	0

(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 0

		Business Code
2a
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		0

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,757	5,757	0	0
4 Income from investment of tax-exempt bond proceeds			0	0	0	0
5 Royalties...........			0	0	0	0
		(ii) Personal	(i) Real
6a	Gross rents	0	0	6a
b	Less: rental expenses	0	0	6b
c	Rental income or (loss)	0	0	6c
d	Net rental income or (loss).......			0	0	0	0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	0	0	7a
b	Less: cost or other basis and sales expenses	0	0	7b
c	Gain or (loss)	0	0	7c
d	Net gain or (loss).........			0	0	0	0
8a	Gross income from fundraising events (not including $ 0of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0		0	0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0	0	0	0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0	0	0	0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See instructions.....			7,440,484	5,757	0	0

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,175,261	1,175,261
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0	0
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	0	0	0	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0	0	0	0
7	Other salaries and wages........	1,715,432	1,320,672	351,680	43,080
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	47,046	0	47,046	0
9	Other employee benefits .......	155,692	0	155,692	0
10	Payroll taxes ...........	140,818	0	140,818	0
11	Fees for services (non-employees):
a	Management ......	0	0	0	0
b	Legal .........	15,839	0	15,839	0
c	Accounting ...........	39,457	0	39,457	0
d	Lobbying ...........	0	0	0	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	0	0	0	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	0	0	0	0
12	Advertising and promotion ....	1,500	0	1,500	0
13	Office expenses .......	41,726	0	41,726	0
14	Information technology ......	0	0	0	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	35,100	0	35,100	0
17	Travel ............	3,290	3,290	0	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0	0	0	0
19	Conferences, conventions, and meetings ....	6,890	6,890	0	0
20	Interest ...........	0	0	0	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization ..	28,097	0	28,097	0
23	Insurance ...	4,995	0	4,995	0
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
b
c
d
e	All other expenses	1,606,657	1,354,235	252,422	0
25	Total functional expenses. Add lines 1 through 24e	5,017,800	3,860,348	1,114,372	43,080
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 ........			0	1	0
2	Savings and temporary cash investments .........			4,953,935	2	5,237,456
3	Pledges and grants receivable, net ......			220,959	3	324,092
4	Accounts receivable, net .............			0	4	0
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 .......
				0	5	0
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) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			0	8	0
9	Prepaid expenses and deferred charges ......			0	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	44,934
b	Less: accumulated depreciation	10b	32,752	17,909	10c	12,182
11	Investments—publicly traded securities .			49,757	11	49,535
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........				15	0
16	Total assets. Add lines 1 through 15 (must equal line 33)...			5,242,560	16	5,623,265

17	Accounts payable and accrued expenses .....	345,762	17	68,660
18	Grants payable ...	0	18	0
19	Deferred revenue .........	313,171	19	334,784
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
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 .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
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	0	25	397,929
26	Total liabilities. Add lines 17 through 25..	658,933	26	801,373

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	353,114	27	4,446,136
28	Net assets with donor restrictions ...........	4,230,513	28	375,756
	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 ...........	4,583,627	32	4,821,892
33	Total liabilities and net assets/fund balances ........	5,242,560	33	5,623,265

Name of organization BLUEPRINT NORTH CAROLINA

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)

Name of organization BLUEPRINT NORTH CAROLINA		Employer identification number 27-2459538

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)


Name of organization BLUEPRINT NORTH CAROLINA			Employer identification number 27-2459538
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.

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

1a	Land .....	0	0		0
b	Buildings ....	0	0	0	0
c	Leasehold improvements	0	0	0	0
d	Equipment ....	44,934	0	32,752	12,182
e	Other .....	0	0	0	0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					12,182

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

(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.)

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	397,929
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

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
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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