| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING EXPENSE | 6,955 | 0 | 0 | 6,955 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| HOUSE #1 - BUILDING | 2023-06-30 | 65,502 | 887 | ADS | 40.000000000000 | 1,638 | 0 | 0 | |
| HOUSE #1 - LAND | 2023-06-30 | 16,376 | L | 0 | 0 | 0 |
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
CARPATHIAN FOUNDATION |
LETNA 27 KOSICE 040 01 LO |
2024-08-01 | 7,714 | SOCIAL NEEDS ASSESSMENT IN THE SLOVAK TOWN OF ZEMPLNSKA TEPLICA ADDRESSING ISSUES RELATED TO EDUCATION, EMPLOYMENT, HOUSING, HEALTH, AND OTHER COMMUNITY CONCERNS. THE GRANT AMOUNT WAS 7,000 EUROS, EQUIVALENT TO $7,714 USD AFTER CONVERSION. | 7,714 | THE ZEMPLIN MOSAIC FOUNDATION HAS NO KNOWLEDGE OR EVIDENCE OF ANY DIVERSION | 10/08/24 | 2024-10-08 | THE VERIFICATION PROCESS CONFIRMED THAT THE GRANT FUNDS WERE EXPENDED IN ACCORDANCE WITH THE TERMS AND INTENDED PURPOSE OF THE GRANT. NO IRREGULARITIES OR IMPROPRIETIES WERE IDENTIFIED. |
| Identifier | Return Reference | Explanation |
|---|---|---|
| EXPLANATION REGARDING ORGANIZATIONAL CHART: | FORM 8858, LINE 5 | THE ZEMPLIN MOSAIC FOUNDATION (THE US ENTITY) HAS THE RIGHT TO APPOINT ALL MEMBERS OF THE BOARD OF DIRECTORS OF NADACIA ZEMPLIN MOSAIC (THE SLOVAK FDE). THERE ARE NO OWNERS OF NADACIA ZEMPLIN MOSAIC (THE SLOVAK FDE) AS IT IS A NONPROFIT ORGANIZATION. |
| EXPLANATION REGARDING LINE 7 ("E&P") | FORM 8858, SCHEDULE H, LINE 7 | ON FORM 8858, SCHEDULE H, LINE 7 "CURRENT EARNINGS AND PROFITS", THE AMOUNT OF $(51,174) REPRESENTS THE CHANGE IN NET ASSETS OF NADACIA ZEMPLIN MOSAIC, A NONPROFIT ORGANIZATION. SINCE IT IS A NONPROFIT, THE CONCEPT OF "EARNINGS AND PROFITS" DOESN'T APPLY. INSTEAD, THE "CHANGE IN NET ASSETS" REFLECTS THE DIFFERENCE BETWEEN REVENUES AND EXPENSES, WHICH IS HOW NONPROFITS MEASURE THEIR FINANCIAL PERFORMANCE. |
| EXPLANATION REGARDING LINE 9 ("OTHER") | FORM 8858, SCHEDULE M, LINE 9 | ON FORM 8858, SCHEDULE M, LINE 9 "OTHER", THE $8,384 REPRESENTS A TRANSFER OF CAPITAL FROM THE ZEMPLIN MOSAIC FOUNDATION (THE US ENTITY) TO NADACIA ZEMPLIN MOSAIC (THE SLOVAK FDE) IN ORDER TO CARRY OUT CHARITABLE WORKS IN THE COUNTRY OF SLOVAKIA IN ACCORDANCE WITH THE ORGANIZATIONS' SHARED CHARITABLE MISSION. |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| HOUSE #1 - BUILDING | 65,502 | 2,525 | 62,977 | 62,977 |
| HOUSE #1 - LAND | 16,376 | 0 | 16,376 | 16,376 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL EXPENSE | 917 | 0 | 0 | 917 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BANK FEES | 239 | 0 | 0 | 239 |
| OFFICE EXPENSE | 315 | 0 | 0 | 315 |
| OTHER EXPENSE | 879 | 0 | 0 | 879 |
| DIRECT CHARITABLE EXPENSE: HEALTH & FAMILY PLANNING | 2,542 | 0 | 0 | 2,542 |
| DIRECT CHARITABLE EXPENSE: FOOD ACCESS & ALLEVIATING HUNGER | 2,890 | 0 | 0 | 2,890 |
| DIRECT CHARITABLE EXPENSE: BASIC NEEDS (CLOTHING, HOUSEHOLD SUPPLIES, ETC.) | 1,414 | 0 | 0 | 1,414 |
| DIRECT CHARITABLE EXPENSE: PUBLIC TRANSPORT ACCESS | 1,275 | 0 | 0 | 1,275 |
| DIRECT CHARITABLE EXPENSE: OTHER SUPPORT SERVICES | 1,326 | 0 | 0 | 1,326 |
| DIRECT CHARITABLE EXPENSE: SOCIAL WORKER SUPPORT | 652 | 0 | 0 | 652 |
| INDEPENDENT CONTRACTOR EXPENSE | 11,632 | 0 | 0 | 11,632 |
| BUSINESS MEALS & MEETING EXPENSE | 73 | 0 | 0 | 73 |
| Description | Amount |
|---|---|
| ROUNDING | 1 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OTHER PROFESSIONAL SERVICES | 1,828 | 0 | 0 | 1,828 |
| Name | US / Foreign Address |
EIN | Description | Amount |
|---|---|---|---|---|
| NADACIA ZEMPLIN MOSAIC |
PLAVKOVA 285/2 KOSICE 04011 LO |
98-1695214 | INTERNATIONAL PROGRAM OPERATIONS FUNDING (TO SLOVAK SUBSIDIARY) | 8,384 |
| Total | 8,384 | |||