SHALLOW FORD FOUNDATION INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SHALLOW FORD FOUNDATION INC (EIN 04-3795285)
Tax period
2022-07-01 to 2023-06-30
Filed
2023-11-08
IRS object ID
202343129349301204
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)
Return2023-11-08T08:00:53-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

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 Begin2022-07-01TaxPeriodBeginDt

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)
PersonROBERT SIPPRELL JRPersonNm
Person TitleVICE CHAIRMANPersonTitleTxt
Phone3366636794PhoneNum
Signature2023-11-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstROBERTPersonFirstNm
Person LastSIPPRELLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID L FUNK CPAPreparerPersonNm
PTINP00187731PTIN
Phone2604840653PhoneNum
Preparation2023-11-07PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
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$1,485,205GrossReceiptsAmt
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 Volunteers122TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,139,174PYContributionsGrantsAmt
CY Contributions Grants$786,136CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$656,278PYInvestmentIncomeAmt
CY Investment Income$618,650CYInvestmentIncomeAmt
PY Other Revenue$469PYOtherRevenueAmt
CY Other Revenue$475CYOtherRevenueAmt
PY Total Revenue$1,795,921PYTotalRevenueAmt
CY Total Revenue$1,405,261CYTotalRevenueAmt
PY Grants And Similar Paid$512,510PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$406,282CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$228,688PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$287,480CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$23,427CYTotalFundraisingExpenseAmt
PY Other Expenses$176,487PYOtherExpensesAmt
CY Other Expenses$172,040CYOtherExpensesAmt
PY Total Expenses$917,685PYTotalExpensesAmt
CY Total Expenses$865,802CYTotalExpensesAmt
PY Revenues Less Expenses$878,236PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$539,459CYRevenuesLessExpensesAmt
Total Assets BOY$14,996,692TotalAssetsBOYAmt
Total Assets EOY$16,204,086TotalAssetsEOYAmt
Total Liabilities BOY$14,289TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,483TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,982,403NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,192,603NetAssetsOrFundBalancesEOYAmt
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$717,479ExpenseAmt
Grant$381,951GrantAmt
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$51,675ExpenseAmt
Grant$24,331GrantAmt
DescCO-LED WITH SCHOOL-BASED MENTORS, AND COORDINATED A 4-YEAR CAREER AND POSTSECONDARY EDUCATION ACCESS PROGRAM FOR 11TH AND 12TH GRADE STUDENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$769,154TotalProgramServiceExpensesAmt
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 Document5IRPDocumentCnt
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 GRAYPersonNm
Phone3366636794PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 567AddressLine1Txt
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)$129,013$0$3,870
TIM W BELL
CHAIRMAN5.00Yes (X)$0$0$0Yes (X)
EMMY CORN
DIRECTOR1.00$0$0$0Yes (X)
BRADLEY GRAY
TREASURER1.00Yes (X)$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
VICE CHAIRMA1.00Yes (X)$0$0$0Yes (X)
WILLIAM LAWLER
DIRECTOR1.00$0$0$0Yes (X)
STACY MAYHEW
DIRECTOR1.00$0$0$0Yes (X)
ROBIN PAUL
DIRECTOR1.00$0$0$0Yes (X)
DAN PUGH
DIRECTOR1.00$0$0$0Yes (X)
MARIA VERNON
PAST CHAIR1.00Yes (X)$0$0$0Yes (X)
RONNIE LEE WILLARD
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$129,013TotalReportableCompFromOrgAmt
Total Other Compensation$3,870TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$786,136AllOtherContributionsAmt
Noncash Contributions$204,057NoncashContributionsAmt
Total Contributions$786,136TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$698,594TotalRevenueColumnAmt
Exclusion$698,594ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$79,944SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$79,944SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$79,944TotalRevenueColumnAmt
Related Or Exempt Func Income-$79,944RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Total Revenue Column$475TotalRevenueColumnAmt
Related Or Exempt Func Income$475RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$475OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,405,261TotalRevenueColumnAmt
Related Or Exempt Func Income-$79,469RelatedOrExemptFuncIncomeAmt
Exclusion$698,594ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$406,282TotalAmt
Program Services$406,282ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$260,282TotalAmt
Program Services$216,034ProgramServicesAmt
Management And General$31,234ManagementAndGeneralAmt
Fundraising$13,014FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,265TotalAmt
Program Services$6,030ProgramServicesAmt
Management And General$872ManagementAndGeneralAmt
Fundraising$363FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,933TotalAmt
Program Services$16,544ProgramServicesAmt
Management And General$2,392ManagementAndGeneralAmt
Fundraising$997FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,200TotalAmt
Management And General$6,200ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$68,845TotalAmt
Program Services$68,845ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,212TotalAmt
Program Services$1,769ProgramServicesAmt
Management And General$332ManagementAndGeneralAmt
Fundraising$111FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,306TotalAmt
Program Services$6,019ProgramServicesAmt
Management And General$921ManagementAndGeneralAmt
Fundraising$366FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,110TotalAmt
Program Services$3,411ProgramServicesAmt
Management And General$493ManagementAndGeneralAmt
Fundraising$206FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,300TotalAmt
Program Services$12,699ProgramServicesAmt
Management And General$1,836ManagementAndGeneralAmt
Fundraising$765FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,471TotalAmt
Program Services$1,892ProgramServicesAmt
Management And General$465ManagementAndGeneralAmt
Fundraising$114FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

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

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,076TotalAmt
Program Services$1,814ProgramServicesAmt
Management And General$1,164ManagementAndGeneralAmt
Fundraising$98FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SOFTWARE$20,008$5,055$14,648$305
CONTRACT SERVICES$9,354$965$8,389
PROGRAM & INITIATIVES$6,978$6,978
DEVELOPMENT EXPENSE$5,560$5,560

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,394TotalAmt
Program Services$14,817ProgramServicesAmt
Management And General$3,049ManagementAndGeneralAmt
Fundraising$1,528FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$865,802TotalAmt
Program Services$769,154ProgramServicesAmt
Management And General$73,221ManagementAndGeneralAmt
Fundraising$23,427FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$292,279BOYAmt
EOY$432,033EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$552,049BOYAmt
EOY$26,771EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,132LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,919LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,439BOYAmt
EOY$2,213EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,148,925BOYAmt
EOY$15,743,069EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,996,692BOYAmt
EOY$16,204,086EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,289BOYAmt
EOY$11,483EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,289BOYAmt
EOY$11,483EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,982,403BOYAmt
EOY$16,192,603EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,982,403BOYAmt
EOY$16,192,603EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,996,692BOYAmt
EOY$16,204,086EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$539,459ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$670,741NetUnrlzdGainsLossesInvstAmt
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$217,080CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$405,318CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$405,995CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,139,174CurrentTaxYearMinus1YearAmt
Current Tax Year$504,523CurrentTaxYearAmt
Total$2,672,090TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$217,080CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$405,318CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$405,995CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,139,174CurrentTaxYearMinus1YearAmt
Current Tax Year$504,523CurrentTaxYearAmt
Total$2,672,090TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,672,090PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$760,772CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$293,412CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,837,809CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$656,278CurrentTaxYearMinus1YearAmt
Current Tax Year$698,594CurrentTaxYearAmt
Total$4,246,865TotalAmt
FieldValueIRS element (for citing)
Total Support$6,918,955TotalSupportAmt
Gross Receipts Rltd Activities$1,994GrossReceiptsRltdActivitiesAmt
Public Support CY1700.38620PublicSupportCY170Pct
Public Support PY1700.37020PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPORTING SCHEDULEFormAndLineReferenceDesc
ExplanationSECURITIES 105,245 SECURITIES 26,797 LAND 45,000 UNUSUAL CASH DONATION 59,151 UNUSUAL CASH DONATION 45,420ExplanationTxt

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 Held14DonorAdvisedFundsHeldCnt
Funds And Other Accounts Held37FundsAndOtherAccountsHeldCnt
Donor Advised Funds Contri$220,280DonorAdvisedFundsContriAmt
Funds And Other Accounts Contri$728,623FundsAndOtherAccountsContriAmt
Donor Advised Funds Grants$612,765DonorAdvisedFundsGrantsAmt
Funds And Other Accounts Grants$194,060FundsAndOtherAccountsGrantsAmt
Donor Advised Funds Vl EOY$12,265,307DonorAdvisedFundsVlEOYAmt
Funds And Other Accounts Vl EOY$3,637,534FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg CtrlYes (true)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (true)DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,522,285BeginningYearBalanceAmt
Contributions$60,538ContributionsAmt
Investment Earnings Or Losses$1,046,158InvestmentEarningsOrLossesAmt
Grants Or Scholarships$590,600GrantsOrScholarshipsAmt
Administrative Expenses$137,665AdministrativeExpensesAmt
End Year Balance$12,900,716EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,063,253BeginningYearBalanceAmt
Contributions$12,378ContributionsAmt
Investment Earnings Or Losses-$1,785,856InvestmentEarningsOrLossesAmt
Grants Or Scholarships$60,950GrantsOrScholarshipsAmt
Administrative Expenses$157,990AdministrativeExpensesAmt
End Year Balance$12,522,285EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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
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$3,919DepreciationAmt
Book Value$2,213BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,213TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$2,007,157TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$670,741NetUnrealizedGainsInvstAmt
Revenue Not Reported$670,741RevenueNotReportedAmt
Revenue Subtotal$1,336,416RevenueSubtotalAmt
Investment Expenses Not Incld$68,845InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$68,845RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,405,261TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$796,957TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$796,957ExpensesSubtotalAmt
Investment Expenses Not Incld2$68,845InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$68,845ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$865,802TotalExpensesPerForm990Amt

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 (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
APPALACHIAN STATE UNIVERSITY
ASU BOX 32005BOONENC28608561176030501C3$10,100SCHOLARSHIPS
BIG BROTHERS BIG SISTERS
20 MARSHALL ST SWWINSTONSALEMNC27101561161118501C3$6,500YOUTH MENTORING
CANCER SERVICES INC
3715 MAPLEWOOD AVENUEWINSTONSALEMNC27103560656375501C3$23,183CANCER PATIENT SUPPO
CLEMMONS UNITED METHODIST CHURCH
3700 CLEMMONS ROADCLEMMONSNC27012560943736501C3$7,000MINISTRY SUPPORT
DIAPER BANK OF NORTH CAROLINA
1311 E CLUB BLVDDURHAMNC27704320401621501C3$6,500DIAPERS/HYGIENE
FORBUSH VOLUNTEER FIRE DEPT
4725 OLD US HWY 421 EYADKINVILLENC27055237450625501C3$10,000EQUIPMENT
FORSYTH TECHNICAL COMM COLLEGE
2100 SILAS CREEK PARKWAYWINSTON SALEMNC27103560792614501C3$8,843SCHOLARSHIPS
HANDS OF HOPE MEDICAL CLINIC
PO BOX 62YADKINVILLENC27055275569145501C3$10,000INTERPRETER
HUMANE SOCIETY OF DAVIE COUNTY
1469 N MAIN STREETMOCKSVILLENC27028561759771501C3$11,500SPAY/NEUTERING
IFB SOLUTIONS
7730 NORTH POINT DRIVEWINSTON SALEMNC27106566001467501C3$6,500EDUCATION SUPPORT
LOVE OUT LOUD
1650 NORTH IVY AVENUEWINSTONSALEMNC27106474085418501C3$65,855PROPERTY MTNCE/PROGR
MAGNIFY MINISTRIES INC
1336 LONE HICKOPRY ROADYADKINVILLENC27055271855954501C3$10,000HOME REPAIRS
NORTHWESTERN REGIONAL LIBRARY
111 NORTH FRONT STREETELKINNC28621566021060501C3$10,000CHILDREN'S LITERACY
SALPOINTE CATHOLIC HIGH SCHOOL
1545 EAST COPPER STREETTUCSONAZ85719742382300501C3$10,000SCHOOL REBUILDING
SURRY COMMUNITY COLLEGE
630 SOUTH MAIN STREETDOBSONNC27017560841532501C3$8,728SCHOLARSHIPS
TRELLIS SUPPORTIVE CARE
101 HOSPICE LANEWINSTON SALEMNC27103581343313501C3$6,000HOSPICE SERVICES
UNIVERSITY OF NC-CHARLOTTE
9201 UNIVERSITY CITY BLVDCHARLOTTENC28223560791228501C3$8,600SCHOLARSHIPS
WINSTON-SALEM STATE UNIVERSITY
601 S MARTIN LUTHER KING JR DRWINSTONSALEMNC27110566001466501C3$17,500SCHOLARSHIPS
YADKIN ARTS COUNCIL
PO BOX 667YADKINVILLENC27055510162387501C3$11,250ARTS PROGRAMMING
YADKIN COUNTY ECONOMIC DEV
PO BOX 1840YADKINVILLENC27055262343433501C3$25,250CHILD CARE FACILITY
YADKIN COUNTY PUBLIC SCHOOLS
121 WASHINGTON STREETYADKINVILLENC27055566001137GOV$11,050COLLEGE ACCESS PROGR
YADKIN COUNTY RESCUE SQUAD AND EMS
PO BOX 1355YADKINVILLENC27055561490476501C3$9,000EQUIPMENT
YMCA OF NORTHWEST NC
301 NORTH MAIN ST SUITE 1900WINSTONSALEMNC27101560530015501C3$16,680EDUCATION/HEALTH
YVEDDI
PO BOX 309BOONEVILLENC27011560851147501C3$15,000SENIOR SERVICES
FieldValueIRS element (for citing)
Total501c3 Org24Total501c3OrgCnt

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
Contribution7ContributionCnt
Noncash Contributions Rpt F990$159,057NoncashContributionsRptF990Amt
Method Of Determining RevenuesAVG HIGH/LOW PRICE ON DAYMethodOfDeterminingRevenuesTxt

Real Estate Other RealEstateOtherGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$45,000NoncashContributionsRptF990Amt
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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