BETA

JOB-SITE SAFETY INSTITUTE: Form 990EZ, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
JOB-SITE SAFETY INSTITUTE (EIN 47-3860174)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-05-09
IRS object ID
202331299349203258
Schema version
2022v5.0
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)
Return2023-05-09T16:31:16-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521446779PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON LAMBERT LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14242 SIX FORKS ROAD SUITE 1500AddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27609ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN473860174EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOB-SITE SAFETY INSTITUTEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOB-BusinessNameControlTxt
Phone8667025998PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 97503AddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27624ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROB MATUGAPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8667025998PhoneNum
Signature2023-05-02SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstROBPersonFirstNm
Person LastMATUGAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJ CALVIN MARKSPreparerPersonNm
PTINP01226973PTIN
Phone9197196400PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressWWW.JSSAFETY.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$30,000GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$30,000ContributionsGiftsGrantsEtcAmt
Total Revenue$30,000TotalRevenueAmt
Grants And Similar Amounts Paid$43,504GrantsAndSimilarAmountsPaidAmt
Salaries Other Comp Empl Bnft$26,667SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$19,195FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$18,082OtherExpensesTotalAmt
Total Expenses$107,448TotalExpensesAmt
Excess Or Deficit For Year-$77,448ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$80,247NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$2,799NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$82,068BOYAmt
EOY$6,711EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$82,068BOYAmt
EOY$6,711EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,821BOYAmt
EOY$3,912EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$80,247BOYAmt
EOY$2,799EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeJOB-SITE SAFETY INSTITUTE (JSI) IS DEDICATED TO CONDUCT SAFETY RESEARCH FOR RESIDENTIAL AND COMMERCIAL CONSTRUCTION JOB SITES LEADING TO PRACTICES, STANDARDS AND BEHAVIORS THAT WILL REDUCE JOB-SITE INJURIES AND FATALITIES.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
MICHIGAN STATE UNIVERSITY - TRENDS OF OCCUPATIONAL INJURIES AND INTERVENTION ON CONSTRUCTION JOB-SITES. THE PURPOSE OF THIS PROJECT WAS TO ANALYZE THE NATIONAL CENSUS OF FATAL OCCUPATIONAL INJURIES (CFOI) DATASET FROM THE U.S. BUREAU OF LABOR STATISTICS (BLS). THE ANALYTICAL RESULTS WILL INFORM JSI AND THE CONSTRUCTION INDUSTRY ABOUT THE CRITICAL FACTORS SUCH AS FREQUENCY, CAUSES, AND RISKS THAT LEAD TO FATALITIES AND INJURIES SO THAT APPROPRIATE PREVENTIONS CAN BE DSIGNED AND IMPLEMENTED.$29,504$29,504
NATIONAL ASSOCIATION OF HOME BUILDERS - VIDEO TOOLBOX TALKS. THE PURPOSE OF THIS PROJECT WAS TO CREATE 12 SAFETY VIDEOS (6 IN ENGLISH AND 6 IN SPANISH) OF APPROXIMATELY FIVE-MINUTE IN LENGTH THAT ADDRESS THE RECOGNITION AND PREVENTION OF SAFETY HAZARDS IN THE CONSTRUCTION INDUSTRY. THE AVAILABILITY OF THE SAFETY VIDEOS IS PROMOTED NATIONALLY TO THE TARGET AUDIENCE IN RESIDENTIAL CONSTRUCTION INDUSTRY (SMALL BUSINESSES, YOUNG WORKERS, MINORITY/LIMITED ENGLISH SPEAKING, AND OTHER HARD-TO-REACH WORKERS) AND DISSEMINATED THROUGH ONLINE CHANNELS FREE TO THE TARGET AUDIENCE. AS COMPLETED, THESE VIDEOS ARE RELEASED AND PROMOTED THROUGH LOCAL AND NATIONAL CHANNELS AND MADE AVAILABLE TO THE PUBLIC IN BOTH ENGLISH AND SPANISH THROUGH WEBSITES, YOUTUBE AND FREE DOWNLOADS.$14,000$14,000
PUBLIC RELATIONS AND EDUCATION - JOB-SITE SAFETY INSTITUTE CREATES STRONG NATIONAL PARTNERSHIPS WITH EDUCATIONAL INSTITUTIONS, INDUSTRY REGULATORS, SAFETY-FOCUSED ORGANIZATIONS, AND BUILDING ASSOCIATIONS ACROSS THE UNITED STATES. RESEARCH FUNDED THROUGH GRANTS PRODUCES STUDIES THAT GUIDE SAFETY PRACTICES, SET NEW SAFETY STANDARDS, AND INFLUENCE WORKER BEHAVIOR ON JOB-SITES, PLAYING A CRITICAL ROLE IN THE REDUCTION OF JOB-SITE INJURIES AND THE ELIMINATION OF JOB-SITE FATALITIES.$0$2,789
FieldValueIRS element (for citing)
Total Program Service Expenses$46,293TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
J GARY HILL
EXECUTIVE DIRECTOR TO SEP '22)/DIRE25.00$26,667$0$0
ROB MATUGA
EXECUTIVE DIRECTOR (FROM SEP '22)25.00$0$0$0
ERIK ANDERSON
CHAIR0.75$0$0$0
BILL SCHAFFNER
PRESIDENT0.75$0$0$0
THOMAS B LOCKARD
ASST SECRETARY/TREASURER0.50$0$0$0
MIKE THIBODEAUX
SECRETARY/TREASURER (TO DEC '22)0.50$0$0$0
CHRISTINE BRANCHE
DIRECTOR0.50$0$0$0
ANDREW HILLIARD
DIRECTOR0.50$0$0$0
WILLARD HUGHES
DIRECTOR0.50$0$0$0
TIM MINTON
DIRECTOR0.50$0$0$0
BRIAN PACE
DIRECTOR0.50$0$0$0
THOMAS TRAUGER
DIRECTOR0.50$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROB MATUGA EXECUTIVE DIRECTORBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 97502AddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27624ZIPCd
FieldValueIRS element (for citing)
Phone8667025998PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

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$195,463CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$283,963CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$224,413CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,889CurrentTaxYearMinus1YearAmt
Current Tax Year$30,000CurrentTaxYearAmt
Total$778,728TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$195,463CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$283,963CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$224,413CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,889CurrentTaxYearMinus1YearAmt
Current Tax Year$30,000CurrentTaxYearAmt
Total$778,728TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$312,874SubstantialContributorsTotAmt
Public Support Total170$465,854PublicSupportTotal170Amt
Total Support$778,728TotalSupportAmt
Public Support CY1700.59820PublicSupportCY170Pct
Public Support PY1700.58280PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: PROGRAM SERVICES. GRANTEE NAME: MICHIGAN STATE UNIVERSITY. GRANTEE ADDRESS: 1410 ENGINEERING BUILDING EAST LANSING, MI 48825. AMOUNT GIVEN: 29,504.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: PROGRAM SERVICES. GRANTEE NAME: NATIOANL ASSOCIATION OF HOME BUILDERS. GRANTEE ADDRESS: 1201 15TH ST WASHINGTON, DC 20005. AMOUNT GIVEN: 14,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 43,504.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: TRAVEL EXPENSES. AMOUNT: 8,682. DESCRIPTION: INSURANCE EXPENSES. AMOUNT: 5,950. DESCRIPTION: OFFICE EXPENSES. AMOUNT: 1,349. DESCRIPTION: CONFERENCE EXPENSES. AMOUNT: 1,072. DESCRIPTION: ADVERTISING EXPENSES. AMOUNT: 761. DESCRIPTION: ASSOCIATION FEES. AMOUNT: 268. TOTAL TO FORM 990-EZ, LINE 16: 18,082.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 1,821. END OF YEAR AMOUNT: 3,912.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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