FURP.ORG / PUBLIC DATA EXPLORER

NOT IMPOSSIBLE FOUNDATION INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
NOT IMPOSSIBLE FOUNDATION INC (EIN 45-1601262)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202333189349309313
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)
Return2023-11-14T14:50:23-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN952302617PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SINGERLEWAK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110960 WILSHIRE BLVD SUITE 1100AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90024ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN451601262EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE NOT IMPOSSIBLE FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNOTIBusinessNameControlTxt
Phone3105779963PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1628 CALIFORNIA AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMIKE BLACKERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3105779963PhoneNum
Signature2023-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMIKEPersonFirstNm
Person LastBLACKERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLIOR TEMKINPreparerPersonNm
PTINP00748170PTIN
Phone3104773924PhoneNum
Preparation2023-11-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMIKE BLACKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1628 CALIFORNIA AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$812,906GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FACEBOOK.COM/NOTIMPOSSIBLEFOUNDATIONWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTHE NOT IMPOSSIBLE FOUNDATION FUELS TECHNOLOGY FOR THE SAKE OF HUMANITY THROUGH ENTREPRENEURSHIP, INNOVATION AND STORY.ActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers2TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$515,841PYContributionsGrantsAmt
CY Contributions Grants$788,057CYContributionsGrantsAmt
PY Program Service Revenue$95,867PYProgramServiceRevenueAmt
CY Program Service Revenue$24,849CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$611,708PYTotalRevenueAmt
CY Total Revenue$812,906CYTotalRevenueAmt
PY Grants And Similar Paid$71,221PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$118,784CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$333,598PYOtherExpensesAmt
CY Other Expenses$194,692CYOtherExpensesAmt
PY Total Expenses$404,819PYTotalExpensesAmt
CY Total Expenses$313,476CYTotalExpensesAmt
PY Revenues Less Expenses$206,889PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$499,430CYRevenuesLessExpensesAmt
Total Assets BOY$764,169TotalAssetsBOYAmt
Total Assets EOY$1,266,680TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,054TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$764,169NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,265,626NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE NOT IMPOSSIBLE FOUNDATION FUELS TECHNOLOGY FOR THE SAKE OF HUMANITY THROUGH ENTREPRENEURSHIP, INNOVATION AND STORY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$112,000ExpenseAmt
Grant$112,000GrantAmt
DescHUNGER NOT IMPOSSIBLE: FEEDING THE HUNGRYDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$50,382ExpenseAmt
Revenue$24,849RevenueAmt
DescPROJECT TEMPT: EYEWRITER DEVELOPMENT FUNDING IS THE CONTINUED HEALTH AND SUPPORT OF THE ALPHA EYEWRITER USER THAT TELLS THE STORY OF THE BETA USER TO ADVANCE THE CONTINUED DEVELOPMENT OF ACCESSIBLE HEALTH TECH SOLUTIONS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$46,302ExpenseAmt
Grant$6,784GrantAmt
DescPROJECT DANIEL: 3D PRINT PROSTHETICS FUNDS THE CONTINUED HEALTH AND EDUCATION OF THE ALPHA PROSTHETIC USERS THAT TELLS THE STORY OF THE BETA PROSTHETIC USERS IN ORDER TO ADVANCE THE CONTINUED DEVELOPMENT OF ACCESSIBLE 3D PROSTHETIC SOLUTIONS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescPARKINSONS - HIPPA COMPLIANT DEVICE CREATIONS PROVIDING QUALITY OF LIFE SOLUTIONS TO PARKINSON'S PATIENTS THRU R&D AROUND THE CREATION OF UNIQUE AND CUTTING EDGE HAPTIC SOLUTIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$208,684TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members2GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIKE BLACKER PRESIDENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3105779963PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1628 CALIFORNIA AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (2 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MIKE BLACKER
PRESIDENT1.00Yes (X)$0$0$0
VALORIE CASKEY EBELING
DIRECTOR10.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$788,057AllOtherContributionsAmt
Total Contributions$788,057TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SPONSORSHIPDesc
Business624210BusinessCd
Total Revenue Column$24,849TotalRevenueColumnAmt
Related Or Exempt Func Income$24,849RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$24,849TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$812,906TotalRevenueColumnAmt
Related Or Exempt Func Income$24,849RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$118,784TotalAmt
Program Services$118,784ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,335TotalAmt
Management And General$1,335ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,306TotalAmt
Management And General$8,306ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$68,074TotalAmt
Program Services$10,894ProgramServicesAmt
Management And General$57,180ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,661TotalAmt
Program Services$1,569ProgramServicesAmt
Management And General$9,092ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,510TotalAmt
Program Services$3,510ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,934TotalAmt
Management And General$1,934ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM EXPENSE$98,927$73,927$25,000
DUES AND SUBSCRIPTIONS$1,945$1,945

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$313,476TotalAmt
Program Services$208,684ProgramServicesAmt
Management And General$104,792ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$514,335BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$249,834BOYAmt
EOY$1,014,819EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$251,861EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$764,169BOYAmt
EOY$1,266,680EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,054EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,054EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$764,169BOYAmt
EOY$1,265,626EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$764,169BOYAmt
EOY$1,265,626EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$764,169BOYAmt
EOY$1,266,680EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$499,430ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,027NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$237,070CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$725,138CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$513,726CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$515,841CurrentTaxYearMinus1YearAmt
Current Tax Year$788,056CurrentTaxYearAmt
Total$2,779,831TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$95,867CurrentTaxYearMinus1YearAmt
Current Tax Year$24,849CurrentTaxYearAmt
Total$120,716TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$237,070CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$725,138CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$513,726CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$611,708CurrentTaxYearMinus1YearAmt
Current Tax Year$812,905CurrentTaxYearAmt
Total$2,900,547TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,000CurrentTaxYearMinus4YearsAmt
Current Tax Year$667,660CurrentTaxYearAmt
Total$687,660TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$89,750CurrentTaxYearMinus1YearAmt
Total$89,750TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$89,750CurrentTaxYearMinus1YearAmt
Current Tax Year$667,660CurrentTaxYearAmt
Total$777,410TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,123,137PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$237,070CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$725,138CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$513,726CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$611,708CurrentTaxYearMinus1YearAmt
Current Tax Year$812,905CurrentTaxYearAmt
Total$2,900,547TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.73200PublicSupportCY509Pct
Public Support PY5090.76290PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCITY NATIONAL BANK SECURITIESDesc
Book Value$251,861BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$251,861TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCREDIT CARD PAYABLEDesc
Amt$1,054Amt
FieldValueIRS element (for citing)
Total Liability$1,054TotalLiabilityAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
AMERICAN DIABETES ASSOCIATION
PO BOX 7023MERRIFIELDVA22116131623888501(C)(3)$112,000$0CASH GRANTGRANT TO ADA
SAMARITAN'S PURSE
PO BOX 3000BOONENC28607581437002501(C)(3)$6,284$0CASH GRANTDONATION TO COVER EXPENSES IN SOUTH SUDAN
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7ATHE RIGHT TO SELECT THE DIRECTORS AND THE RIGHT TO DETERMINE THE NUMBER OF DIRECTORS IS HELD BY THE INDIVIDUALS HOLDING THE RIGHT TO DESIGNATE DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE RIGHT TO SELECT THE DIRECTORS AND THE RIGHT TO DETERMINE THE NUMBER OF DIRECTORS IS HELD BY THE INDIVIDUALS HOLDING THE RIGHT TO DESIGNATE DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S FORM 990 IS PROVIDED TO ALL DIRECTORS PRIOR TO FILING AND IS REVIEWED BY MANAGEMENT AND THE ORGANIZATION'S LEGAL COUNSEL PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR THE ORGANIZATION'S DIRECTORS, OFFICERS, STAFF, AND CONSULTANTS ARE REQUIRED TO RESPOND IN WRITING (A) AGREEING TO ABIDE BY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, AND (B) DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST THE INDIVIDUAL MAY HAVE WITH THE ORGANIZATION. IN ADDITION, EACH INDIVIDUAL AGREES TO IMMEDIATELY CONTACT THE ORGANIZATION IF A POTENTIAL CONFLICT ARISES SUBSEQUENT TO SIGNING THE FOREGOING ANNUAL STATEMENT.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION REVIEWS INCLUDE A COMPENSATION STUDY AND RECOMMENDATIONS BASED ON DATA PERFORMED BY A THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACTORS: PROGRAM SERVICE EXPENSES 10,894. MANAGEMENT AND GENERAL EXPENSES 57,180. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,074.