SHALLOW FORD FOUNDATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SHALLOW FORD FOUNDATION INC (EIN 04-3795285)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-12
IRS object ID
202321329349303042
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-12T11:11:35-04:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN352110134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHRISTEN SOUERS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110347 DAWSONS CREEK BLVD STE CAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP468251905ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043795285EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHALLOW FORD FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSHALBusinessNameControlTxt
Phone3366636794PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 567AddressLine1Txt
CityCLEMMONSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP270120567ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIM W BELLPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone3366636794PhoneNum
Signature2023-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTIMPersonFirstNm
Person LastBELLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID L FUNK CPAPreparerPersonNm
PTINP00187731PTIN
Phone2604840653PhoneNum
Preparation2023-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTIM W BELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 567AddressLine1Txt
CityCLEMMONSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27012ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,795,921GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SHALLOWFORDFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO UNLOCK THE FULL PHILANTHROPIC POTENTIAL OF OUR COMMUNITIES OF CLEMMONS, LEWISVILLE, AND YADKIN COUNTY. TO ADDRESS NEEDS AND INTERESTS WITH CHARITABLE RESOURCES TOWARD TRANSFORMATIONAL SOLUTIONS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers102TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$405,995PYContributionsGrantsAmt
CY Contributions Grants$1,139,174CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,837,809PYInvestmentIncomeAmt
CY Investment Income$656,278CYInvestmentIncomeAmt
PY Other Revenue$1,519PYOtherRevenueAmt
CY Other Revenue$469CYOtherRevenueAmt
PY Total Revenue$2,245,323PYTotalRevenueAmt
CY Total Revenue$1,795,921CYTotalRevenueAmt
PY Grants And Similar Paid$570,289PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$512,510CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$212,191PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$228,688CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$16,088CYTotalFundraisingExpenseAmt
PY Other Expenses$164,504PYOtherExpensesAmt
CY Other Expenses$176,487CYOtherExpensesAmt
PY Total Expenses$946,984PYTotalExpensesAmt
CY Total Expenses$917,685CYTotalExpensesAmt
PY Revenues Less Expenses$1,298,339PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$878,236CYRevenuesLessExpensesAmt
Total Assets BOY$16,710,912TotalAssetsBOYAmt
Total Assets EOY$14,996,692TotalAssetsEOYAmt
Total Liabilities BOY$13,792TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,289TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,697,120NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,982,403NetAssetsOrFundBalancesEOYAmt
MissionTO UNLOCK THE FULL PHILANTHROPIC POTENTIAL OF OUR COMMUNITIES OF CLEMMONS, LEWISVILLE, AND YADKIN COUNTY. TO ADDRESS NEEDS AND INTERESTS WITH CHARITABLE RESOURCES TOWARD TRANSFORMATIONAL SOLUTIONS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$795,258ExpenseAmt
Grant$478,575GrantAmt
DescCONNECTED PHILANTHROPIC INDIVIDUALS AND RESOURCES WITH COMMUNITY NEEDS THROUGH COMMUNITY-ENGAGED GRANTMAKING AND SCHOLARSHIP AWARDS. INITIATED AND SUPPORTED PROGRAMS WHERE NEEDS IDENTIFIED. SUPPORTED DONOR ADVISORS WITH COMMUNITY RESEARCH AND GRANT RECOMMENDTION GUIDANCE. GRANT AND SCHOLARSHIP FOLLOWUP.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$55,019ExpenseAmt
Grant$33,935GrantAmt
DescCO-LED WITH 4 SCHOOL-BASED MENTORS, AND COORDINATED A 4-YEAR CAREER AND POSTSECONDARY EDUCATION ACCESS PROGRAM FOR 11TH AND 12TH GRADE STUDENTS. CURRENTLY 53 STUDENTS IN PROGRAM; 20 IN HIGH SCHOOL, 33 IN POST-SECONDARY EDUCATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$850,277TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundYes (true)DonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Form8282 Filed1Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRADLEY O GRAYPersonNm
Phone3366636794PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13540 CLEMMONS ROAD SUITE 113AddressLine1Txt
CityCLEMMONSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27012ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
SANDI SCANNELLI
CEO60.00Yes (X)$133,596$0$3,720
TIM W BELL
CHAIRMAN5.00Yes (X)$0$0$0Yes (X)
MICHAEL COMBEST
DIRECTOR1.00$0$0$0Yes (X)
JOHN CROUCH
DIRECTOR1.00$0$0$0Yes (X)
BRADLEY O GRAY
DIRECTOR1.00$0$0$0Yes (X)
HOLLY GROCE
SECRETARY1.00Yes (X)$0$0$0Yes (X)
KIM HENSON
DIRECTOR1.00$0$0$0Yes (X)
ROBERT HINSHAW
DIRECTOR1.00$0$0$0Yes (X)
BRETT HOGE
DIRECTOR1.00$0$0$0Yes (X)
JENNIFER JOHNSON
DIRECTOR1.00$0$0$0Yes (X)
ROBERT SIPPRELL JR
DIRECTOR1.00$0$0$0Yes (X)
DONALD KINNEY
TREASURER1.00Yes (X)$0$0$0Yes (X)
WILLIAM LAWLER
DIRECTOR1.00$0$0$0Yes (X)
ROBIN PAUL
DIRECTOR1.00$0$0$0Yes (X)
MARIA POINDEXTER VERNON
IMMED PAST C1.00$0$0$0Yes (X)
RONNIE LEE WILLARD
VICE CHAIRMA1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$133,596TotalReportableCompFromOrgAmt
Total Other Compensation$3,720TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$1,139,174AllOtherContributionsAmt
Noncash Contributions$984,534NoncashContributionsAmt
Total Contributions$1,139,174TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$656,278TotalRevenueColumnAmt
Exclusion$656,278ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Total Revenue Column$469TotalRevenueColumnAmt
Related Or Exempt Func Income$469RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$469OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,795,921TotalRevenueColumnAmt
Related Or Exempt Func Income$469RelatedOrExemptFuncIncomeAmt
Exclusion$656,278ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$512,510TotalAmt
Program Services$512,510ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$133,596TotalAmt
Program Services$120,200ProgramServicesAmt
Management And General$11,355ManagementAndGeneralAmt
Fundraising$2,041FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$71,781TotalAmt
Program Services$50,263ProgramServicesAmt
Management And General$13,290ManagementAndGeneralAmt
Fundraising$8,228FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,452TotalAmt
Program Services$5,355ProgramServicesAmt
Management And General$774ManagementAndGeneralAmt
Fundraising$323FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,859TotalAmt
Program Services$13,993ProgramServicesAmt
Management And General$2,023ManagementAndGeneralAmt
Fundraising$843FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,000TotalAmt
Management And General$6,000ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,343TotalAmt
Program Services$2,775ProgramServicesAmt
Management And General$401ManagementAndGeneralAmt
Fundraising$167FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,341TotalAmt
Program Services$8,582ProgramServicesAmt
Management And General$1,241ManagementAndGeneralAmt
Fundraising$518FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$22,391TotalAmt
Program Services$18,584ProgramServicesAmt
Management And General$2,687ManagementAndGeneralAmt
Fundraising$1,120FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,672TotalAmt
Program Services$13,007ProgramServicesAmt
Management And General$1,881ManagementAndGeneralAmt
Fundraising$784FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,735TotalAmt
Program Services$2,270ProgramServicesAmt
Management And General$328ManagementAndGeneralAmt
Fundraising$137FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,226TotalAmt
Management And General$1,226ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,431TotalAmt
Program Services$2,847ProgramServicesAmt
Management And General$412ManagementAndGeneralAmt
Fundraising$172FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
INVESTMENT FEES$77,317$77,317
PROGRAM & INITIATIVES$13,348$13,348
OTHER EXPENSES$11,985$8,526$2,054$1,405
CONTRACT SERVICES$7,648$7,648

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,050TotalAmt
Program Services$700ProgramServicesAmt
Fundraising$350FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$917,685TotalAmt
Program Services$850,277ProgramServicesAmt
Management And General$51,320ManagementAndGeneralAmt
Fundraising$16,088FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$505,812BOYAmt
EOY$292,279EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$86,317BOYAmt
EOY$552,049EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,132LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,693LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,665BOYAmt
EOY$3,439EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$16,114,118BOYAmt
EOY$14,148,925EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,710,912BOYAmt
EOY$14,996,692EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,792BOYAmt
EOY$14,289EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,792BOYAmt
EOY$14,289EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,697,120BOYAmt
EOY$14,982,403EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,697,120BOYAmt
EOY$14,982,403EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,710,912BOYAmt
EOY$14,996,692EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$878,236ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,592,953NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$280,655CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$217,080CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$405,318CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$405,995CurrentTaxYearMinus1YearAmt
Current Tax Year$1,139,174CurrentTaxYearAmt
Total$2,448,222TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$280,655CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$217,080CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$405,318CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$405,995CurrentTaxYearMinus1YearAmt
Current Tax Year$1,139,174CurrentTaxYearAmt
Total$2,448,222TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$43,153SubstantialContributorsTotAmt
Public Support Total170$2,405,069PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$336,305CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$760,772CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$293,412CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,837,809CurrentTaxYearMinus1YearAmt
Current Tax Year$656,278CurrentTaxYearAmt
Total$3,884,576TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,000CurrentTaxYearMinus4YearsAmt
Total$164,000TotalAmt
FieldValueIRS element (for citing)
Total Support$6,496,798TotalSupportAmt
Gross Receipts Rltd Activities$1,988GrossReceiptsRltdActivitiesAmt
Public Support CY1700.37020PublicSupportCY170Pct
Public Support PY1700.10300PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationDONATION OF PROPERTY 164,000ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Donor Advised Funds Held13DonorAdvisedFundsHeldCnt
Funds And Other Accounts Held31FundsAndOtherAccountsHeldCnt
Donor Advised Funds Contri$1,007,931DonorAdvisedFundsContriAmt
Funds And Other Accounts Contri$94,317FundsAndOtherAccountsContriAmt
Donor Advised Funds Grants$353,412DonorAdvisedFundsGrantsAmt
Funds And Other Accounts Grants$144,379FundsAndOtherAccountsGrantsAmt
Donor Advised Funds Vl EOY$11,823,444DonorAdvisedFundsVlEOYAmt
Funds And Other Accounts Vl EOY$2,916,344FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg CtrlYes (true)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (true)DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,063,253BeginningYearBalanceAmt
Contributions$12,378ContributionsAmt
Investment Earnings Or Losses-$1,785,856InvestmentEarningsOrLossesAmt
Grants Or Scholarships$609,500GrantsOrScholarshipsAmt
Administrative Expenses$157,990AdministrativeExpensesAmt
End Year Balance$12,522,285EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,936,248BeginningYearBalanceAmt
Contributions$122,840ContributionsAmt
Investment Earnings Or Losses$2,821,961InvestmentEarningsOrLossesAmt
Grants Or Scholarships$673,232GrantsOrScholarshipsAmt
Administrative Expenses$144,564AdministrativeExpensesAmt
End Year Balance$15,063,253EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,010,705BeginningYearBalanceAmt
Contributions$132,659ContributionsAmt
Investment Earnings Or Losses$443,912InvestmentEarningsOrLossesAmt
Grants Or Scholarships$513,758GrantsOrScholarshipsAmt
Administrative Expenses$137,270AdministrativeExpensesAmt
End Year Balance$12,936,248EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,839,772BeginningYearBalanceAmt
Contributions$10,100ContributionsAmt
Investment Earnings Or Losses$729,291InvestmentEarningsOrLossesAmt
Grants Or Scholarships$416,612GrantsOrScholarshipsAmt
Other Expenditures$18,412OtherExpendituresAmt
Administrative Expenses$133,434AdministrativeExpensesAmt
End Year Balance$13,010,705EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,231,070BeginningYearBalanceAmt
Contributions$101,954ContributionsAmt
Investment Earnings Or Losses$1,027,858InvestmentEarningsOrLossesAmt
Grants Or Scholarships$126,287GrantsOrScholarshipsAmt
Other Expenditures$258,827OtherExpendituresAmt
Administrative Expenses$135,996AdministrativeExpensesAmt
End Year Balance$12,839,772EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,132OtherCostOrOtherBasisAmt
Depreciation$2,693DepreciationAmt
Book Value$3,439BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,439TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt-$874,349TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,592,953NetUnrealizedGainsInvstAmt
Revenue Not Reported-$2,592,953RevenueNotReportedAmt
Revenue Subtotal$1,718,604RevenueSubtotalAmt
Investment Expenses Not Incld$77,317InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$77,317RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,795,921TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$840,368TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$840,368ExpensesSubtotalAmt
Investment Expenses Not Incld2$77,317InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$77,317ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$917,685TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4FormAndLineReferenceDesc
ExplanationTHE INTENDED USE OF THE ENDOWMENT FUNDS IS FOR ANNUAL GRANT MAKING FROM THE INVESTMENT EARNINGS TO FULFILL THE PERPETUAL PHILANTHROPIC INTENTIONS OF THE DONORS WHO CREATED THE FUND.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
APPALACHIAN STATE UNIVERSITY
ASU BOX 32005BOONENC286085611760303$5,100STUDENT SCHOLARHIPS
CANCER SERVICES INC
3715 MAPLEWOOD AVENUEWINSTONSALEMNC271035606563753$28,305CANCER PATIENT SUPPO
CHILDREN'S CENTER OF NORTHWEST NC
PO BOX 1206YADKINVILLENC270555618763893$7,500SUPPORT TO HOMELESS
CITY LIGHTS MINISTRY
1600 WILLIAMSON STWINSTONSALEMNC271074709771463$16,500EMERGENCY RELIEF
CRISIS CONTROL MINISTRY
200 EAST TENTH STREETWINSTONSALEMNC271012373481683$5,150EMERGENCY RELIEF
DAVIDSON-DAVIE COMMUNITY COLLEGE
PO BOX 1287LEXINGTONNC272935607922473$7,500STUDENT SCHOLARSHIPS
FORBUSH VOLUNTEER FIRE DEPARTMENT
4725 OLD US HWY 421 EYADKINVILLENC270552374506253$6,000FACILITY IMPROVEMENT
HANDS OF HOPE MEDICAL CLINIC
PO BOX 62YADKINVILLENC270552755691453$10,000UNINSURED MEDICAL SU
LEWISVILLE-CLEMMONS CHAMBER OF COMM
3540 CLEMMONS ROAD SUITE 112CLEMMONSNC270127432153546$14,700COMM LEADERSHIP PROG
LOVE OUT LOUD
1650 NORTH IVY AVENUEWINSTONSALEMNC271064740854183$60,000YADKINS PROGRAM & FA
MAGNIFY MINISTRIES INC
1336 LONE HICKOPRY ROADYADKINVILLENC270552718559543$12,000HOME REPAIRS FOR NEE
MOUNTAIN VALLEY HOSPICE & PALLIATIV
401 TECHNOLOGY LANE SUITE 200MOUNT AIRYNC270305613465893$6,000UNINSURED MED SUPP
NORTH CAROLINA A & T STATE UNIV
1601 EAST MARKET STREETGREENSBORONC274115660000073$6,200STUDENT SCHOLARSHIPS
NORTHWESTERN REGIONAL LIBRARY
111 NORTH FRONT STREETELKINNC286215660210603$7,500BOOK PROGRAM
PLEASANT GROVE BAPTIST CHURCH
3982 CLINGMAN RDRONDANC286705613168573$10,000GENERAL SUPPORT
SCHOOL HEALTH ALLIANCE FOR FORSYTH
2000 W 1ST ST SUITE 505WINSTONSALEMNC271079120204623$7,500MENTAL HEALTH PROGRA
SMART START OF YADKIN COUNTY
1001 S STATE STYADKINVILLENC270555618646673$12,700CHILDCARE EXPANSION
SOLUS CHRISTUS
2552 BALTIMORE RDEAST BENDNC270182611249083$10,000ADDICTION RECOVERY P
UNC AT CHAPEL HILL
111 PETTIGREW HALLCHAPEL HILLNC275995660013933$7,700STUDENT SCHOLARSHIPS
WINSTON-SALEM RESCUE MISSION
PO BOX 595WINSTONSALEMNC271025608919213$10,000EMERGENCY RELIEF
WINSTON-SALEM STATE UNIVERSITY
601 S MARTIN LUTHER KING JR DRWINSTONSALEMNC271105660014663$7,000STUDENT SCHOLARSHIPS
WINSTON-SALEM STREET SCHOOL
630 W 6TH ST SUITE 101WINSOMSALEMNC271018105668743$5,425STUDENT SUPPORT
YADKIN ARTS COUNCIL
PO BOX 667YADKINVILLENC270555101623873$14,600ARTS PROGRAMS
YADKIN COUNTY PUBLIC SCHOOLS
121 WASHINGTON STREETYADKINVILLENC27055566001137GOV$17,735COLLEGE ACCESS PROGR
YADKIN COUNTY RESCUE SQUAD AND EMS
PO BOX 1355YADKINVILLENC270555614904763$11,012EQUIPMENT UPGRADES
YADKIN VALLEY ECONOMIC DEV DISTRIC
PO BOX 309BOONVILLENC270115608511473$12,000SENIOR FOODSERVICES
FieldValueIRS element (for citing)
Total501c3 Org25Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationUNLESS UNRESTRICTED, ALL GRANTEES MUST FILE A REPORT WITH THE FOUNDATION DOCUMENTING THE OUTCOMES AND EXPENDITURES. STAFF REVIEWS REPORTS TO ENSURE EXPENDITURES COMPLIED WITH GRANT AMOUNT AWARDED AND PURPOSE. ANY EXCEPTIONS ARE REPORTED TO THE CEO/BOARD FOR ACTION. UNRESTRICTED GRANT AWARDS TO VETTED, QUALIFIED PUBLIC CHARITIES ARE ENCOURAGED, BUT NOT REQUIRED TO SUBMIT A SIMILIAR REPORT. SCHOLARSHIP AWARDS TO DOMESTIC INDIVIDUALS ARE PAID TO THE STUDENT'S EDUCATIONAL INSTITUTION DIRECTLY. THE FOUNDATION STAFF MONITORS STUDENT ENROLLMENT WITH THE SCHOOL IN WHICH THE STUDENT IS ENROLLED.ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$358,235NoncashContributionsRptF990Amt
Method Of Determining RevenuesAVG HIGH/LOW PRICE ON DAYMethodOfDeterminingRevenuesTxt

Real Estate Other RealEstateOtherGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$626,299NoncashContributionsRptF990Amt
Method Of Determining RevenuesAPPRAISAL OF FMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE COMPLETED 990 IS REVIEWED BY THE BOARD MEMBERS PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CALL DIRECTORS, STAFF, AND VOLUNTEERS ARE REQUIRED ANNUALLY TO COMPLETE A FORM DISCLOSING ALL INTERESTS. FURTHER, THESE INDIVIDUALS ARE REQUIRED TO REMOVE THEMSELVES FROM DISCUSSION AND ANY VOTING IF A CONFLICT IS IDENTIFIED. THE TREASURER AND STAFF MONITOR DISCLOSURES AND ANY POTENTIAL CONFLICT OF INTEREST, WITH REMINDER, IF NEEDED, OF NECESSARY RECUSAL.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION IS DETERMINED BY THE BOARD BASED ON A REVIEW OF FIELD SALARY SURVEY REPORTS (COUNCIL ON FOUNDATIONS), AND LOCAL COMPARABLE POSITIONS, AND CANDIDATE EXPERIENCE. THE EXECUTIVE COMMITTEE IS CHARGED WITH INITIATING THE CEO'S ANNUAL PERFORMANCE REVIEW AND CONDUCTING THE COMP STUDIES, WHICH IS COMPLETED ANNUALLY.
FORM 990, PAGE 6, PART VI, LINE 19THE BOARD HAS A POLICY TO AVAIL ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FURTHER, THE FOUNDATION IS REGISTERED WITH THE NORTH CAROLINA STATE SOLICITATION LICENSING BRANCH, WHERE DOCUMENTS ARE ALSO ON FILE. NO REQUESTS FOR ANY OF THESE DOCUMENTS HAVE BEEN MADE.

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