| (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.") .. | 0 | 0 | 70,849 | 50,422 | 55,956 | 177,227 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | 0 | 0 | 0 | 0 | 0 | 0 |
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 4 | Total. Add lines 1 through 3 | 0 | 0 | 70,849 | 50,422 | 55,956 | 177,227 |
| 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) .. | 0 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 177,227 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 0 | 0 | 70,849 | 50,422 | 55,956 | 177,227 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 0 | 0 | 4 | 7 | 7 | 18 |
| 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.).. | 0 | 0 | 0 | 0 | 0 | 0 |
| 11 | Total support. Add lines 7 through 10 | 177,245 | |||||
| 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.") | ||||||
| 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) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (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 | |
| 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. |
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| 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) |
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| 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. |
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|
7 Excess distributions carryover to 2026. Add lines 3j and 4c. |
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| 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 |
|---|---|
| Doing Business As Names | NHCT UA HA Fund,Inc. |
| Part III, line 2 | The nonprofit organization played a pivotal role in organizing an impactful Art Show and Sale that showcased the creative talents of injured soldiers who were actively engaged in an Art Therapy program at a Rehabilitation Center situated in Zhytomyr Ukraine. This event not only provided these soldiers with a platform to display their artistic expressions but also served as a significant fundraising opportunity with the primary objective of enabling the center to purchase a crucial refrigerated vehicle. This specialized vehicle was earmarked for the important task of safely transporting fallen soldiers from the frontlines to the rehabilitation center and subsequently to their respective hometowns for dignified burial ceremonies. In addition to the Art Show and Sale the organization undertook another noteworthy initiative by acquiring and installing six much-needed charging stations. These charging stations were strategically positioned to cater to the needs of soldiers serving on the frontlines ensuring they have access to essential charging facilities for their electronic devices. By setting up these charging stations the organization aimed to provide practical support to the soldiers enabling them to stay connected with their families and access important communications while on duty in challenging and often remote locations. The Art Show and Sale not only served as a platform for the soldiers to showcase their creativity and talent but also highlighted the therapeutic benefits of art in their rehabilitation journey. Through their participation in the Art Therapy program these soldiers were able to convey their emotions experiences and aspirations through art contributing to their physical and emotional healing process. The event not only raised awareness about the importance of supporting injured soldiers but also fostered a sense of community and solidarity among attendees supporters and the soldiers themselves. Furthermore the acquisition of the refrigerated vehicle was a critical step towards enhancing the logistical capabilities of the rehabilitation center. By facilitating the safe transportation of fallen soldiers and ensuring appropriate arrangements for their final journey home the organizations efforts played a vital role in honoring the sacrifices of these brave individuals and providing comfort to their families during difficult times. The refrigerated vehicle represented more than just a mode of transportation; it symbolized dignity respect and compassion towards the fallen soldiers and their loved ones. The installation of the charging stations at strategic locations near the frontlines underscored the organizations commitment to addressing the practical needs of soldiers actively serving in challenging environments. By providing access to charging facilities for electronic devices the organization not only demonstrated its dedication to enhancing the well-being and connectivity of the soldiers but also contributed to maintaining their morale and communication capabilities during demanding missions. These charging stations served as a tangible reminder of the organizations ongoing support for the troops and its recognition of the sacrifices they make in the line of duty. In summary the organizations initiatives including the Art Show and Sale featuring artworks by injured soldiers and the procurement of charging stations for frontline soldiers exemplify its multifaceted approach to supporting and honoring military personnel. Through these endeavors the organization not only raised crucial funds and provided practical infrastructure but also promoted healing creativity and community solidarity among individuals directly impacted by military service. These efforts reflect a deep commitment to enhancing the well-being and quality of life for soldiers and their families embodying the organizations mission to serve those who have sacrificed for their country. |
| Part VI, Line 7b | All 13 members of the board of directors have an equal vote on all procedures processes and locations that have an impact on when where and how things are going to be done by members volunteers of the organization. |
| Part VI, Line 8 | Due to the ongoing flexibility of the operations of this organization written notes are not kept for most of the meetings that the organization has on a weekly basis. Twice a year there are meetings that do have notes taken to serve as reminders about major actions that must be carried out later in the year. |
| Part VI, Line 11a | Copies of the form are provided to all of the officers of the organization. They are given a chance to read through the form and then they are required to email the president with any changes that need to be made. The president then makes the recommended changes. The form is again reviewed by the president vice pesident and treasurer one last time before submission. |
| General | | Explanation:| Schedule N Part 11 EIN. The charity fund that the money went to Heart of the Samaritan Fund in Ukraine is a fund that Father Roman Manulyak set up so that our organization could transfer money from our Credit Union in New Haven CT directly into the fund that he set up in his bank in Ukraine. Since his fund is in Ukraine it does not have an EIN. That is the reason why that field was not filled in. |
| Software ID: | |
| Software Version: |