Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 70,811 | 27,309 | 75,166 | 133,764 | 2,104,030 | 2,411,080 |
| 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 | 43,037 | 42,690 | 18,112 | 49,618 | 102,501 | 255,958 |
| 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 | 113,848 | 69,999 | 93,278 | 183,382 | 2,206,531 | 2,667,038 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 30,450 | 43,500 | 73,950 | |||
| 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 | |||||
| c | Add lines 7a and 7b.. | 30,450 | 43,500 | 73,950 | |||
| 8 | Public support. (Subtract line 7c from line 6.) | 2,593,088 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 113,848 | 69,999 | 93,278 | 183,382 | 2,206,531 | 2,667,038 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 217 | 53 | 44,752 | 45,022 | ||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 217 | 53 | 44,752 | 45,022 | ||
| 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.) .. | 150,000 | 150,000 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 113,848 | 69,999 | 93,495 | 183,435 | 2,401,283 | 2,862,060 |
| 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 2022 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-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WILL BE PROVIDED TO THE EXECUTIVE MEMBERS OF THE BOARD FOR REVIEW. AFTER THE EXECUTIVE MEMBERS REVIEW THE FORM 990 IT IS SENT TO THE REMAINING BOARD MEMBERS FOR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | AT THE BEGINNING OF THE FISCAL YEAR THE POLICY AND AN ACKNOWLEDGMENT FORM ARE DISTRIBUTED TO ALL CURRENT BOARD MEMBERS FOR REVIEW AND SIGNATURE. DURING THE COURSE OF THE YEAR SHOULD A CONFLICT ARISE BOARD MEMBERS ARE ASKED TO DISCLOSE ANY CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | N/A NO COMPENSATION IS PROVIDED |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | INVESTMENT IN SUBSIDIARY -28,764. |
| AMENDED RETURN EXPLANATION: | THIS AMENDED FORM 990 IS BEING FILED TO REFLECT SEVERAL CHANGES RELATED TO A FINANCING LEASE TRANSACTION THAT WAS ENTERED INTO ON JANUARY 1, 2023. THE FOLLOWING UPDATES HAVE BEEN MADE TO ACCURATELY PRESENT THE FINANCIAL AND OPERATIONAL IMPACT OF THIS TRANSACTION: CORE FORM 990 ADJUSTMENTS: 1. PROGRAM SERVICE EXPENSE ADJUSTMENT (PART III, LINE 4A): THE AMOUNT REPORTED ON PART III, LINE 4A HAS BEEN UPDATED FROM $596,478 TO $551,051. THIS CHANGE REFLECTS ADJUSTMENTS TO PROGRAM SERVICE EXPENSES REPORTED IN PART IX, WHICH ARE DESCRIBED IN LATER SECTIONS. 2. RECOGNITION OF INTEREST INCOME (PART VIII, LINE 3A): INTEREST INCOME OF $97,192 HAS BEEN RECOGNIZED IN CONNECTION WITH THE FINANCING LEASE AND IS REPORTED ON PART VIII, LINE 3. THIS AMOUNT INCLUDES INCOME DERIVED FROM BOTH THE FINANCING LEASE RECEIVABLE AND THE INTEREST SUPPORT RECEIVABLE, CALCULATED USING THE EFFECTIVE INTEREST METHOD OVER THE LEASE TERM. 3. SALE OF PROPERTY AND RECOGNITION OF LOSS (PART VIII, LINE 7): THE TRANSACTION HAS BEEN ACCOUNTED FOR AS A SALE OF THE PROPERTY UNDER A FINANCING LEASE ARRANGEMENT. AS A RESULT, A SALE HAS BEEN REPORTED ON PART VIII, LINE 7. CORRESPONDING CHANGES HAVE BEEN MADE TO THE BALANCE SHEET IN PART X: - LINE 10A (LAND, BUILDINGS, AND EQUIPMENT): DECREASED FROM $7,937,658 TO $2,180,437, REPRESENTING THE REMOVAL OF SOLD ASSETS. THE REMAINING $2,180,437 REFLECTS LEASEHOLD IMPROVEMENTS TO THE PROPERTY ($1,298,548) AND LAND HELD SEPARATELY AND NOT INCLUDED IN THE FINANCING LEASE ($881,889). - LINE 10B (ACCUMULATED DEPRECIATION): DECREASED FROM $183,773 TO $16,648. - LINE 10C (NET FIXED ASSETS): DECREASED FROM $7,753,885 TO $2,163,789. 4. LEASE EXPENSE TO NEW OWNER (PART IX, LINE 16): FOLLOWING THE TRANSFER OF THE PROPERTY, THE ORGANIZATION IS NOW LEASING THE PROPERTY FROM THE NEW OWNER. THE RENT PAID UNDER THIS LEASE IS NOW REPORTED AS AN OPERATING EXPENSE. LINE 16 HAS BEEN UPDATED FROM $0 TO $81,000. 5. DEPRECIATION EXPENSE ADJUSTMENT (PART IX, LINE 22): AS THE ASSETS WERE SOLD AS OF JANUARY 1, 2023, DEPRECIATION EXPENSE HAS BEEN ADJUSTED. LINE 22 HAS BEEN REDUCED FROM $167,872 TO $61,695. 6. EXPENSE REIMBURSEMENTS FOR PROPERTY MANAGEMENT (PART IX, LINE 24E): THE RETURN HAS BEEN UPDATED TO INCLUDE EXPENSE REIMBURSEMENTS RECEIVED FOR PROPERTY MANAGEMENT SERVICES. LINE 11A HAS BEEN ADJUSTED FROM $88,533 TO $73,533, REFLECTING A $15,000 REDUCTION IN FACILITY MANAGEMENT EXPENSES. 7. FINANCING LEASE RECEIVABLE AND INTEREST SUPPORT RECEIVABLE (PART X, LINE 15): NEW RECEIVABLES HAVE BEEN ADDED TO THE BALANCE SHEET. LINE 15 INCREASED FROM $0 TO $4,718,465, CONSISTING OF: - $3,742,941 FOR THE FINANCING LEASE RECEIVABLE. - $879,024 FOR THE INTEREST SUPPORT RECEIVABLE. - $96,500 DUE FROM A RELATED PARTY. 8. LIABILITY ADJUSTMENT - DEBT ASSUMED BY LESSEE (PART X, LINE 23): AS PART OF THE FINANCING LEASE TRANSACTION, $1,100,000 OF THE ORGANIZATION'S DEBT WAS ASSUMED BY THE LESSEE. LINE 23 HAS BEEN REDUCED FROM $4,894,516 TO $3,794,516. 9. INCREASE IN PAYABLES - RENT DUE TO LESSEE (PART X, LINE 25): THE ORGANIZATION RECORDED AN INCREASE IN AMOUNTS DUE TO THE LESSEE FOR RENT. LINE 25 INCREASED FROM $81,084 TO $162,084. 10. CHANGE IN NET ASSETS (PART X, LINES 27 AND 32; PART XI). DUE TO THE CUMULATIVE IMPACT OF THE ABOVE CHANGES: - LINE 27 (NET ASSETS OR FUND BALANCES): INCREASED FROM $2,061,392 TO $2,250,432. - LINE 32 (TOTAL LIABILITIES AND NET ASSETS): REFLECTS THIS CHANGE. - THESE ADJUSTMENTS ARE ALSO REFLECTED IN PART XI (RECONCILIATION OF NET ASSETS). SCHEDULE ADJUSTMENTS: 1. SCHEDULE A ADJUSTMENT - PUBLIC SUPPORT CALCULATION: SCHEDULE A, SECTION A, PART III, LINE 10A HAS BEEN UPDATED TO INCLUDE $44,752 OF INTEREST INCOME RELATED TO THE FINANCING LEASE. 2. SCHEDULE D ADJUSTMENT - SUPPLEMENTAL FINANCIAL STATEMENTS: SCHEDULE D HAS BEEN AMENDED TO REFLECT CHANGES FROM THE FINANCING LEASE AND RELATED FINANCIAL UPDATES. SPECIFICALLY, PARTS VI (LAND, BUILDINGS, AND EQUIPMENT), IX (OTHER ASSETS), AND X (OTHER LIABILITIES) HAVE BEEN ADJUSTED TO ALIGN WITH THE REVISED FORM 990. 3. SCHEDULE R ADJUSTMENT - RELATED ORGANIZATIONS AND UNRELATED PARTNERSHIPS: SCHEDULE R HAS BEEN AMENDED TO REFLECT UPDATES RELATED TO THE FINANCING LEASE AND RELATED PARTY TRANSACTIONS. PART V, LINE 2 HAS BEEN UPDATED TO REFLECT TRANSACTIONS WITH RELATED ORGANIZATIONS. |
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| Software Version: |