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)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 92,751 | 259,321 | 352,072 | |||
| 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 | 92,751 | 259,321 | 352,072 | |||
| 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. | 352,072 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 92,751 | 259,321 | 352,072 | |||
| 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 | 352,072 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 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-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| 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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| FORM 990, PAGE 2, PART III, LINE 4A | CHEMLINE, A POLYURETHANE AND POLYUREA FORMULATIONS MANUFACTURER, HAS A STRONG COMMITMENT TO GIVING BACK TO THE LOCAL COMMUNITY. THROUGH ITS CHEMLINE CARES INITIATIVE, CORPORATE PLEDGES ARE DONATED TO SELECTED CHARITIES THROUGH A TEAM-DRIVEN EFFORT THAT EMBODIES THEIR COLLECTIVE SPIRIT OF GENEROSITY AND COMMUNITY INVOLVEMENT. EACH MEMBER OF THE CHEMLINE CARES TEAM CHAMPIONS A CHARITY THAT IS CLOSE TO THEIR HEART, BUIDING AND SUPPORTING THE CHARITY'S NEES THROUGH A DEDICATED PARTNERSHIP. IN SEPTEMBER 2024 CHEMLINE CARES REACHED OUT TO FIRST ACCESS BEHAVIORAL HEALTH WITH A DESIRE TO FUND THE ORGANIZATION TO FURTHER SUPPORT IT'S MISSION TO DELIVER EVIDENCE-BASED SERVICES AND EDUCATION TO FIRST RESPONDERS. MEMBERS OF THE CHEMLINE TEAM HAND-PICKED FIRST ACCESS BEHAVIROAL HEALT DUE TO THEIR FIRST-HAND KNOWLEDGE OF THE IMPACT OF THE ORGANIZATION'S WORK. THIS 31,000 GRANT PROVIDED 258 HOURS OF IMMEDIATE AND BARRIER FREE ACCESS TO SPECIALIZED THERAPY SERVICES INCLUDING EYE MOVEMENT DESENSITIZATION REPROCESSING, SOMATIC EXPREIENCING PROCESSING, BRAINSPORTTING AND NEUROFEEDBACK. COUNSELING AND CRISIS INTERVENTION ARE ESSENTIAL TO THE WELLBEING OF ALL FIRST RESPONDERS, WHICH DIRECTLY AFFECTS THEM INDIVIDUALLY, ON THE JOB AND AT HOME. THE FEES ASSOCIATED WITH THESE SERVICES ARE OFTEN TOO HIGH FOR THE FIRST RESPONDER TO INCUR AND MANY DEPARTMENTS DO NOT HAVE PROGRAMS IN PLACE THAT WOULD OFFSET THESE COSTS. AS A DIRECT RESULT, THE FIRST RESPONDER DOES NOT SEEK HELP AND FALLS DEEPER INTO DESPAIR OR PTSD BECOMES TOO MUCH TO MANAGE AND THE REULTS CAN BE DEVASTATING. THIS PROGRAM PROVIDES COUNSELING AND CRISIS INTERVENTION, WITH NO FINANCIAL BARRIERS, FOR THE FIRST RESPONDER (AND HIS FAMILY) AND WILL INCLUDE CRISIS INTERVENTION, ROUTINE SESSIONS, SUPPORT GROUPS AND ONGOING CARE WITHOUT TIME LIMITS. THIS PROGRAM INCLUDES POST-CRISIS RECOVERY FOR THE FIRST RESPONDER AND IS ALSO IN PLACE TO SERVE FULL DEPARTMENTS IMMEDIATELY FOLLOWING CRITICAL INCIDENTS. FUNDING COMES FROM FEE-FOR-SERVICE VISITS AND GRANT SUPPORT FROM PARTNERING FIRE DEPARTMENTS. MORE THAN 25 FIRST RESPONDERS ACROSS MISSOURI WERE SERVED WITH THIS PROGRAM IN 2024. |
| FORM 990, PAGE 2, PART III, LINE 4B | FIRST ACCESS BEHAVIORAL HEALTH PROVIDES MENTAL HEALTH AWARENESS AND DE- ESCALATIOIN TRAINING TO FIRST RESPONDERS, INCLUDING FIRE DEPARTMENTS, AMBULANCE DISTRICTS AND LAW ENFORCEMENT AGENCIES TO DEVELOP THEIR UNDERSTANDING OF THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND TO TEACH DE- ESCALATION TECHNIQUES THAT CAN BE UTILZED WHEN RESPONDING TO A MENTAL HEALTH CRISIS. FIRST ACCESS BEHAVIORAL HEALTH PROVIDES TRAINING UTILIZING THE EVIDENCE-BASED PROGRAMS OF MENTAL HEALTH FIRST AID AND SOLUTION-FOCUSED BRIEF INTERVENTION AND WILL PROVIDE RESOURCE MATERIALS AND LINKAGES TO COMMUNITY-BASED MENTAL HEALTH AGENCIES FOR THE GENERAL POPULATION ACROSS THE STATE OF MISSOURI. THE GOAL OF THIS SERVICE IS TO INCREASE THE NUMBER OF FIRST RESPONDERS TO INCLUDE LAW ENFORCEMENT, EMERGENCY MEDICAL SERVICES OR FIRE DEPARTMENTS TRAINED TO RESPOND TO MENTAL HEALTH NEEDS AND CRISIS IN THE HENERAL POPULATION. AS OF DECEMBER 31, 2024, ONE QUARTER INTO YEAR TWO OF THE GRANT, SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION, THE AGENCY HAS TRAINED 763 PERSONS THROUGH IT'S STRENGTHENING THE MENTAL HEALTH CULTURE TRAINING PROGRAM, WHICH WELL EXCEEDS THE THREE-YEAR PROJECT GOAL OF 200 PERSONS SERVED. THE MAJORITY OF THE PERSONS TRAINED WERE CAREER FIREFIGHTERS/PARAMEDICS EMPLOYED THROUGH FIRE DEPARTMENTS, AMBULANCE DISTRICTS AND ON OF MISSOURI'S FIRE TRAINING SCHOOLS. THIS HAS BEEN ACCOMPLISHED THROUGH BUILDING RELATIONSSHIPS STATEWIDE WITH FIRST RESPONDING AGENCIES AND OFFERING A TRAINING PROGRAM THAT DIRECTLY RELATES AND RESPONDS TO THEIR NEEDS AND UNIQUE SITUATION. DURING THIS SAME TIME PERIOD, RESPONDENTS REPORTED 1334 PERSONS HAVE BEEN REFERRED TO BEHAVIORAL HEALTH SERVICES AS A RESULT OF THEIR INCREASED KNOWLEDGE OF MENTAL HEALTH, AS A RESULT OF THE FABH TRAINING AND 93% OF TRAINEES EXPERIENCED A CHANGE IN KNOWLEDGE FROM PRETEST TO POST TEST. |
| FORM 990, PAGE 2, PART III, LINE 4C | MISSOURI SENATE BILL 24, NOW LAW EFFECTIVE AS OF AUGUST 28, 2023, IS OFFICIALLY THE MISSOURI FIRST RESPONDER MENTAL HEALTH INITIATIVE ACT. THE LAW DOES SEVERAL MAJOR THINGS TO EXPAND PROTECTIONS AND SUPPORT FOR FIRST RESPONDERS, INCLUDING TELECOMMUNICATORS (911 DISPATCHERS). FIRST ACCESS BEHAVIORAL HEALTH'S CEO HAS BEEN INSTRUMENTAL IN SUPPORTING THE DEVELOPMENT AND IMPLEMENTATION OF THE FOUR KEY PROVISIONS, NOTED BELOW, THROUGH REGIONAL EDUCATION AND CONSULTATION WITH LAWMAKERS, FIRST RESPONDING AGENCIES AND OTHER PROVIDERS. 1) IT ENSURES FIRST RESPONDERS HAVE THE RIGHT TO ACCESS BEHAVIORAL AND MENTAL HEALTH CARE SERVICES, INCLUDING TREATMENT FOR PTSD, UNDER CERTAIN TERMS (GEOGRAPHIC FLEXIBILITY, CONFIDENTIALITY, ETC). 2) IT ESTABLISHES A FIRST RESPONDER BEHAVIORAL HEALTH GRANT PROGRAM THROUGH WHICH ELIGIBLE FIRST RESPONDERS CAN BE REIMBURSED FOR BEHAVIORAL HEALTH CARE EXPENSES, PEER SUPPORT, TRAINING AND RELATED SERVICES. 3) THE BILL ALSO EXPANDS A VOLUNTARY "CRITICAL ILLNESS BENEFITS POOL" (PREVIOUSLY ONLY FOR FIREFIGHTERS AND CANCER VICTIMS) TO INCLUDE FIRST RESPONDERS MORE BROADLY (EMTS, TELECOMMUNICATORS) TO COVER DIAGNOSABLE TRAUMA STRESS EVENTS OR CUMULATIVE POST-TRAUMATIC STRESS INJURIES. 4) THERE ARE PROTECTIONS FOR CONFIDENTIALITY OF PEER SUPPORT COUNSELING: COMMUNICATIONS IN PEER SUPPORT SESSIONS ARE TO BE CONFIDENTIAL, EMPLOYERS CAN'T FORCE SOMEONE TO PARTICIPATE AND THERE ARE PENALTIES FOR ADVISORS WHO VIOLATE CONFIDENTIALITY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
| FORM 990, PART IX, LINE 11G | CONTRACTUAL 79,585 0 0 OFFICE SUPPLIES 11,434 0 0 LATE FEES 13 0 0 CONTINUING EDUCATION 655 0 0 OFFICE SUPPLIES 557 0 0 CONTRACTUAL 20,480 0 0 TOTAL 112,724 0 0 |
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