10 19 FOUNDATION INC: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
10 19 FOUNDATION INC (EIN 81-4975769)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-07-10
IRS object ID
202221919349200102
Schema version
2021v4.1
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)
Return2022-07-10T15:31:15-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN854166738PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MIA GREEN EABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1718 SANDWICH RDAddressLine1Txt
CityEAST FALMOUTHCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02536ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN814975769EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line110-19 FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name Control10-1BusinessNameControlTxt
Phone5083268034PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 MCKENNA RIDGE ROADAddressLine1Txt
CityEAST FALMOUTHCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02536ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL P MOOREPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5083268034PhoneNum
Signature2022-05-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPAULPersonFirstNm
Person LastMOOREPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMia Green EAPreparerPersonNm
PTINP01070644PTIN
Phone5083444918PhoneNum
Preparation2022-07-10PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
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
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressWWW.1019FOUNDATION.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$6,650GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$6,633ContributionsGiftsGrantsEtcAmt
Program Service Revenue$0ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$17InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$6,650TotalRevenueAmt
Grants And Similar Amounts Paid$8,000GrantsAndSimilarAmountsPaidAmt
Fees And Other Pymt To Ind Cntrct$240FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$613OtherExpensesTotalAmt
Total Expenses$8,853TotalExpensesAmt
Excess Or Deficit For Year-$2,203ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$90,429NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$88,226NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$90,429BOYAmt
EOY$88,226EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$90,429BOYAmt
EOY$88,226EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$90,429BOYAmt
EOY$88,226EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO PROVIDE SCHOLARSHIPS AND FINANCIAL AID TO YOUTH ATHELETES IN MEMORY OF TWO FALMOUTH HIGH SCHOOL ATHLETES.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
TWO SCHOLARSHIPS$0$7,000
REHABILITATION ASSISTANCE - ANTHONY QUETTA - HIGHSCHOOL HOCKEY INJURY$0$1,000
FieldValueIRS element (for citing)
Total Program Service Expenses$8,000TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
GEORGE BERUBE
PRESIDENT1.00$0$0$0
PAUL MOOORE
TREASURER1.00$0$0$0
BRANDON WOODWARD
SECRETARY1.00$0$0$0
NICK COUHIG
DIRECTOR1.00$0$0$0
JACOB HARTZLER
DIRECTOR1.00$0$0$0
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 OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPAUL P MOOREPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 MCKENNA RIDGE ROADAddressLine1Txt
CityEAST FALMOUTHCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02536ZIPCd
FieldValueIRS element (for citing)
Phone5083268034PhoneNum
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
Other Support Sum$0OtherSupportSumAmt
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$110,476CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,800CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,307CurrentTaxYearMinus1YearAmt
Current Tax Year$6,633CurrentTaxYearAmt
Total$139,816TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$110,476CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,800CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,307CurrentTaxYearMinus1YearAmt
Current Tax Year$6,633CurrentTaxYearAmt
Total$139,816TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$139,816PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$154CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$136CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$152CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$104CurrentTaxYearMinus1YearAmt
Current Tax Year$17CurrentTaxYearAmt
Total$563TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$154CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$136CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$152CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$104CurrentTaxYearMinus1YearAmt
Current Tax Year$17CurrentTaxYearAmt
Total$563TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$140,379TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990EZ, Part I, Line 10SCHOLARSHIPS; SCHOLARSHIPS; LILLY MCDONALD: MICHAEL ROSE, ANTHONY QUETTA, , ; , 8000.
Form 990EZ, Part I, Line 16AWARDS 186.
Form 990EZ, Part I, Line 16TAX FILING 35.
Form 990EZ, Part I, Line 16OFFICE EXPENSES 392.

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