Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 0 | 0 | 0 | 0 | 350 | 350 |
| 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 | 0 | 0 | 0 | 0 | 0 | 0 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 0 | 0 | 0 | 0 | 0 | 0 |
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | 0 | 0 | 0 | 0 | 0 |
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | 0 | 0 | 0 | 0 | 0 | 0 |
| 6 | Total. Add lines 1 through 5 | 0 | 0 | 0 | 0 | 350 | 350 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | 0 | 0 | 0 | 0 | 0 |
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 8 | Public support. (Subtract line 7c from line 6.) | 350 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 0 | 0 | 0 | 0 | 350 | 350 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | 0 | 0 | 0 | 0 | 0 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 10a and 10b. | 0 | 0 | 0 | 0 | 0 | 0 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | 0 | 0 | 0 | 0 | 0 | 0 |
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 0 | 0 | 0 | 0 | 0 | 0 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 0 | 0 | 0 | 0 | 350 | 350 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| Part I, line 10 | | Activity:, Grantee Name:, Grantee Address:, Amount:, Relationship:| United Way of Weld County The United Way of Weld County operates a cold weather shelter providing 60 beds of overnight stay from November to April our donatiion will help pay for staff and operations, United Way of Weld County, "814 9th Street Greeley CO80631", $5000.00, None| Provided $5,000 Habitat toward their interfaith build where volunteers from different faith communities work on a Habitat house which will be sold to a low-income family., Greeley Weld Habitat for Humanity, "2080 Greeley Mall Dr Unit D5 Greeley CO 80631", $5000.00, None| Funds were provided to the Guadalupe Community Center a homeless shelter operated by Catholic Charities providing shelter for families and single men and single women. This was in answer to a Grant Request to provide funding for the replacement of washers and dryers in the Mens dormitory, Guadulupe Community Center, "1442 N 11th Avenue Greeley CO 80631", $4130.00, None| Provide $3,000 to support their Rebalance Program for youth age 11-19 who have been impacted by severe or chronic trauma or stress. Our donation will support 3 youths in a two-month summer program., Northern Colorado Youth for Christ, "134 11th Avenue Greeley CO 80631", $3000.00, None| Provided $3,000 to assist the Greeley office in their program to support refugees in the Greeley area., Lutheran Family Services, "1035 Osage St. Ste 700 Denver CO 80204", $3000.00, None| Provided $2,150 to the local Salvation Army Chapter to assist them in providing services for needy families and individuals during the holiday season., Salvation Army, "1119 6th Street Greeley CO 80631", $2150.00, None| Provided $2,000 to assist in the annual Holocaust Memorial Observation sponsored by the local Beth Israel Congregation., Holocaust Memoria Observance, "1625 Reservoir Road Greeley CO80631", $2000.00, None| Provided $2,000 to Jobs of Hope a local service agency working with gang-affiliated individuals and those involved in the Justice System to help with housing employment, Jobs of Hope, "P.O. Box 1017 Greeley CO 80632", $2000.00, None| Provided $2,000 dollars to the Weld County Food Bank to assist them in providing food to needy families for holiday meals during the Thanksgiving and Christmas seasons., Weld County Food Bank, "1108 H Street Greeley CO 80631", $2000.00, None| Provided $1,650 to the First Christian Church for their Wrapped in Love Program to provide wraps for the North Colorado Medical Center nursery for physical therapist to use with babies and mothers. The purpose is to provide skin to skin contact. The funds were used to purchase fabric for sewing of the baby wraps which was done by volunteers., First Christian Church, "5224 W 14th Street Greeley. CO 80631", $1650.00, None| Provided $1,183 to the Layette program providing diapers baby bottles blankets and newborn clothing for low-income parents of newborn children, Layette Program, "228 N 11th Ave Greeley CO 80631", $1183.00, None| Provided $1,100 to the Genesis Project of Northern Colorado to purchase office equipment. The Genesis mission is to empower single mothers in their pursuit of a new beginning. The equipment will be used by 4 part-time staff and 6 participants at a time and their children., Genesis Project of Northern CO, "3129 Santa Fe Court Evans CO 80620", $1100.00, None| Provided $1,000 to Outdoor Colorado to assist them in providing opportunities for youth to be taken outdoors and teach them about conservation morals Ethics and responsibilities of being a good sportsman. The funds will be used to assist with purchase of outdoor clothing., Outdoor Colorado, "1084 Larch Drive Windsor CO 80550", $1000.00, None| Provided $1,000 to 60+ ride a non-profit providing rides for Weld County Residents 60 and older regardless of income. They provide 8.500 rides every year to close to 1,000 individuals. The funds will be used to buy magnetic signs to identify volunteer drivers., 60 plus Ride, "800 8th Ave Suite 229 Greeley CO 80631", $1000.00, None| Provided $1,000 to Ten 24 Ministries which supports at risk women and children. They empower trafficking surviors and single parent families through support and education. The funds will be used to supply food for their Boxed in Love Program, Ten 24 Ministries, "P.O. Box 578 Eaton CO 80615", $1000.00, None| Women to Women provide one time funds to women in need. The $750 will help them with their,program which has helped 2,500 local women since 2009., Women 2 Women, "P.O. Box 336962 Greeley CO 820633", $750.00, None| |
| Part I, line 20 | | Description:, Explanation:, Amount:| Property Increase in value, Property Increased in value, $1457| |
| Revenue (Part I),line 20 | | Explanation:| building value increased |
| Program Service Accomplishments (Part III),line 31 | | Explanation:| GIA Provided $3,000 for Northern Colorado Youth for Christ to support their Rebalance Program for youth aged 11-19 who have been impacted by severe or chronic trauma or stress. Donations support 3 youths in a month summer program. |
| Program Service Accomplishments (Part III),line 32 | | Explanation:| GIA provided $3,000 to Lutheran Family Services to assist the Greeley office in their program to support refugees in the Greeley area. |
| Program Service Accomplishments (Part III),line 32 | | Explanation:| GIA provided $2,150 to the local Salvation Army Chapter to assist them in providing services for needy families during the Holiday Season |
| Program Service Accomplishments (Part III),line 32 | | Explanation:| GIA provided $2,000 to assist in the annual Holocaust Memorial Observance open to all sponsored by the local Beth Israel Congregation |
| Program Service Accomplishments (Part III),line 32 | | Explanation:| GIA provided $2,000 to Jobs of Hope a local service agency working with gang-affiliated individuals and those involved in the Justice System. They assist in housing and employment. |
| Net Assets and Fund balances (Part II),line 32 | | Explanation:| GIA provided $2.000 to the Weld County Food Bank to assist them in providing food to needy families for holiday meals during the holiday season |
| Program Service Accomplishments (Part III),line 32 | | Explanation:| GIA provided $1,650 to the First Christian Church for their Wrapped in Love project to provide wraps to the North Colorado Medical Center nursery for physical therapist to use with babies and mothers. The purpose is to provide skin-to-skin contact. The funds were used to purchase fabric which is sewed by volunteers.GIA provided $1,650 to the First Christian Church for their Wrapped in Love project. This initiative aims to provide wraps for the North Colorado Medical Center nursery enabling physical therapists to promote skin-to-skin contact between babies and mothers. The funds were used to purchase fabric which is then sewn by volunteers. |
| Program Service Accomplishments (Part III),line 32 | | Explanation:| Greeley Interfaith provided $1,183 to a Layette program providing diapers baby bottles blankets and clothing for low-income parents of newborn children. |
| Program Service Accomplishments (Part III),line 32 | | Explanation:| GIA provided $1,100 to Outdoor Colorado to the Genesis Project of Northern Colorado to purchase office equipment. The Genesis mission is to empower single mothers in their pursuit of a new beginning. The equipment will be used by 4 part-time staff and 6 participants at a time and their children. |
| Program Service Accomplishments (Part III),line 32 | | Explanation:| GIA provided $1,000 to Outdoor Colorado to assist them in providing opportunities for youth to be taken to the outdoors and teach them about conservation morals ethics and responsibilities of being a good sportsman. The funds will be used to assist them with the purchase of outdoor clothing. |
| Program Service Accomplishments (Part III),line 32 | | Explanation:| Provided $1,000 to 60 + Ride a non-profit that provides transportation for Weld County Residents 60 and older regardless of income. The funds will be used for the purchase of magnet signs to identify volunteer drivers. |
| Program Service Accomplishments (Part III),line 32 | | Explanation:| GIA provided $1,000 to Ten 24 Ministries which was founded to support at-risk women and children. They empower trafficking survivors and single-parent families through support and education. The funds will be used to supply food for their Boxed in Love Program |
| Program Service Accomplishments (Part III),line 32 | | Explanation:| GIA provided $750 to Women 2 Women which provides funds for women in need. |
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