PATCH INC: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PATCH INC (EIN 26-3361301)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-08-25
IRS object ID
202212379349200536
Schema version
2021v4.2
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)
Return2022-08-25T14:27:27-04:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Efrem Keith Simmons Bus ConsultantBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 281117AddressLine1Txt
CityMemphisCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38168ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN263361301EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Patch IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPATCBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14466 Elvis Presley Blvd STE 119AddressLine1Txt
CityMemphisCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38116ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRose FalknerPersonNm
Person TitlePresidentPersonTitleTxt
Phone9013994855PhoneNum
Signature2022-08-25SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRosePersonFirstNm
Person LastFalknerPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEfrem Keith SimmonsPreparerPersonNm
PTINP00341151PTIN
Phone9019490669PhoneNum
Preparation2022-08-25PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website Addresswww.patchinc.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$141,685GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$102,709ContributionsGiftsGrantsEtcAmt
Program Service Revenue$38,976ProgramServiceRevenueAmt
Total Revenue$141,685TotalRevenueAmt
Salaries Other Comp Empl Bnft$98,952SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$3,342FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$39,712OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$176PrintingPublicationsPostageAmt
Other Expenses Total$28,580OtherExpensesTotalAmt
Total Expenses$170,762TotalExpensesAmt
Excess Or Deficit For Year-$29,077ExcessOrDeficitForYearAmt
Other Changes In Net Assets$72,593OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$43,516NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$652EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$42,864EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$58,396EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$101,912EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$58,396EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$43,516EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeCharitablePrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTransitional Housing - providing housing for felons and drug court probational prisonersDescriptionProgramSrvcAccomTxt
Grants And Allocations$141,685GrantsAndAllocationsAmt
Program Service Expenses$170,762ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$170,762TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp

FieldValueIRS element (for citing)
PersonRose FalknerPersonNm
TitlePresidentTitleTxt
Average Hrs Per Wk Devoted To Pos45.00AverageHrsPerWkDevotedToPosRt
Compensation$27,645CompensationAmt
Employee Benefit Program$0EmployeeBenefitProgramAmt
Expense Account Other Allwnc$0ExpenseAccountOtherAllwncAmt
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersYes (true)MadeLoansToFromOfficersInd
Loans To From Officers$72,593LoansToFromOfficersAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRose FalknerPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14466 Elvis Presley BlvdAddressLine1Txt
CityMemphisCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38116ZIPCd
FieldValueIRS element (for citing)
Phone9013994855PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$102,709CurrentTaxYearAmt
Total$102,709TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$38,976CurrentTaxYearAmt
Total$38,976TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year$141,685CurrentTaxYearAmt
Total$141,685TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$141,685PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year$141,685CurrentTaxYearAmt
Total$141,685TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5090.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
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 L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonSmall Business AdministrationPersonNm
Relationship With OrgLoan RecipientRelationshipWithOrgTxt
Loan PurposePayroll and OperatinLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$72,593OriginalPrincipalAmt
Balance Due$72,593BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$72,593TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Description of other expenses Part I line 16Description AmountProgram Expenses 9,865Travel and Meetings 4,273Liability Insurance 3,527Bank Service Fees 111Books and Dues Subscriptions 525Computer Expenses 862Office Supplies 6,366Security 2,433Charitable Donations 600Office Expenses 18
Other changes in net assets or fund balances Part I line 20Description AmountSBA PPP Loan 72,593
Description of other assets Part II line 24Category Beginning of Year End of YearIRS ERTC Due 0 58,396
Description of total liabilities Part II line 26Category Beginning of Year End of YearLoans from Shareholders 0 58,396

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