| (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) | (a) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (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) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (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) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") | 127,232 | 115,069 | 104,126 | 112,480 | 145,360 | 604,267 |
| 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 | 127,232 | 115,069 | 104,126 | 112,480 | 145,360 | 604,267 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 51,114 | 19,888 | 14,195 | 15,720 | 15,500 | 116,417 |
| 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.. | 51,114 | 19,888 | 14,195 | 15,720 | 15,500 | 116,417 |
| 8 | Public support. (Subtract line 7c from line 6.) | 487,850 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6 | 127,232 | 115,069 | 104,126 | 112,480 | 145,360 | 604,267 |
| 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.).. | 127,232 | 115,069 | 104,126 | 112,480 | 145,360 | 604,267 |
| 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) |
||||
| 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 | ||||
| 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 | |
| 6Total annual distributions. Add lines 1 through 5. | 6 | |
|
7
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
7 | |
| 8 Distributable amount for 2025 from Section C, line 6 | 8 | |
| 9 Line 7 amount divided by Line 8 amount | 9 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2025 |
(iii) Distributable Amount for 2025 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2025 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2025 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2025: | ||||
| a From 2020....... | ||||
| b From 2021....... | ||||
| c From 2022....... | ||||
| d From 2023....... | ||||
| e From 2024....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2025 distributable amount | ||||
|
i
Carryover from 2020 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2025 from Section D, line 6: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2025 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2025, 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 2025. 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 2026. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2021..... | ||||
| b Excess from 2022..... | ||||
| c Excess from 2023..... | ||||
| d Excess from 2024..... | ||||
| e Excess from 2025..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: MARGARET KEELS . PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/05/25. AMOUNT GIVEN: 12,075. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: CAMILLE PRICE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/05/25. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: HEATHER FIELDS . PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/06/25. AMOUNT GIVEN: 3,192. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: SUZANNE POZZELLA . PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/09/25. AMOUNT GIVEN: 15,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: DIANE STEWART. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/23/25. AMOUNT GIVEN: 9,411. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: CINNAMON DORSEY . PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/25/25. AMOUNT GIVEN: 4,065. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: NATASHA SPEARMAN. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 02/25/25. AMOUNT GIVEN: 10,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: JASMINE SMITH . PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 03/12/25. AMOUNT GIVEN: 1,694. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: JANN WILLIAMSON. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 03/12/25. AMOUNT GIVEN: 1,191. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: MELODY ECKERT. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 04/12/25. AMOUNT GIVEN: 1,155. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: MONICA MARON. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 04/15/25. AMOUNT GIVEN: 569. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: LASHAWN PRINCE . PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 04/20/25. AMOUNT GIVEN: 413. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: KIM MARVIN . PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 05/01/25. AMOUNT GIVEN: 3,188. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: KIARA BAKER. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 05/15/25. AMOUNT GIVEN: 2,092. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: KIM TAGGERT. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 05/30/25. AMOUNT GIVEN: 11,950. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: LISA TAYLOR. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 06/15/25. AMOUNT GIVEN: 3,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: REBECCA BIRD. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 06/21/25. AMOUNT GIVEN: 2,048. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: KAREN BROWN . PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 07/01/25. AMOUNT GIVEN: 2,271. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: KENNETH MCCOY. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 08/01/25. AMOUNT GIVEN: 2,038. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: ALEXIS UNDERWOOD . PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/01/25. AMOUNT GIVEN: 7,673. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: DEBBIE HULSE . PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 10/01/25. AMOUNT GIVEN: 1,675. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: SAMANTHA MILLAR. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 11/11/25. AMOUNT GIVEN: 2,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DIRECT FINANCIAL ASSISTANCE TO BREAST CANCER PATIENTS. GRANTEE NAME: ANGELA COLLIER. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 12/29/25. AMOUNT GIVEN: 1,533. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 99,233. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: JOB SUPPLIES. AMOUNT: 67. DESCRIPTION: OFFICE EXPENSE. AMOUNT: 1,327. DESCRIPTION: BANK CHARGES. AMOUNT: 35. DESCRIPTION: INSURANCE. AMOUNT: 580. DESCRIPTION: TAXES . AMOUNT: 125. DESCRIPTION: ADVERTISING . AMOUNT: 3,865. TOTAL TO FORM 990-EZ, LINE 16: 5,999. |
| Software ID: | |
| Software Version: |