CLALLAM COUNTY PREVENTION WORKS COMMUNITY COALITION: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CLALLAM COUNTY PREVENTION WORKS COMMUNITY COALITION (EIN 65-1190690)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-14
- IRS object ID
- 202241349349200629
- Schema version
- 2021v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-14T09:50:21-04:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 651190690 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLALLAM COUNTY PREVENTION WORKS COMMUNITY COALITION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ANN SIMPSON | InCareOfNm |
| Business Name Control | CLAL | BusinessNameControlTxt |
| Foreign Phone | 3604610893 | ForeignPhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1913 | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 983620403 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jennifer Charles | PersonNm |
| Person Title | Accounts Manager | PersonTitleTxt |
| Signature | 2022-05-14 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | www.pw4kids.org | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Type Of Organization Other | Public Charity | TypeOfOrganizationOtherDesc |
| Gross Receipts | $80,398 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $77,038 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $3,360 | ProgramServiceRevenueAmt |
| Gain Or Loss From Sale Of Assets | $0 | GainOrLossFromSaleOfAssetsAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $80,398 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $13,377 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $331 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $10,890 | OtherExpensesTotalAmt |
| Total Expenses | $24,598 | TotalExpensesAmt |
| Excess Or Deficit For Year | $55,800 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $26,856 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $82,656 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,856 | BOYAmt |
| EOY | $82,656 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,856 | BOYAmt |
| EOY | $82,656 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,856 | BOYAmt |
| EOY | $82,656 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | Mission:PreventionWorks!isacoalitionthatpromotespositivechildhoodsinClallamCounty. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (4 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| Accountsmanagementandprogramcoordinatorindependentcontracts. | $0 | $13,177 |
| Printing,copyingandpostage. | $0 | $331 |
| StrengthenYourRelationshipwithYourChildThroughAttentivePlayTraining-Afunnewwaytohelpimprovechildren'sskillsandself-esteem,increasethebondbetweentheengagedparentandchild.Improvecooperationwhileparentsandchildrenworkwithemotionsandhavemorefuntogether. | $200 | $200 |
| Part I - Line 16 Expenses Advertising $ 6431 Food $ 245 Insurance $ 2246 Membership License Dues $ 50 PO Box Fee $ 134 Thank You Gift $ 73 Website $ 1552 Zoom Meetings $ 159 | $0 | $10,890 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $24,598 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Ann Simpson | ||||
| Chair | 1.00 | $0 | $0 | $0 |
| Mary Wegmann | ||||
| Past Chair | 1.00 | $0 | $0 | $0 |
| Stacie Neff | ||||
| Secretary | 1.00 | $0 | $0 | $0 |
| Jody Jacobsen | ||||
| Treasurer | 1.00 | $0 | $0 | $0 |
| Florence Bucierka | ||||
| Board Member | 1.00 | $0 | $0 | $0 |
| Yvette Cline | ||||
| Board Member | 1.00 | $0 | $0 | $0 |
| Ellen Fetchiet | ||||
| Board Member | 1.00 | $0 | $0 | $0 |
| Susan Hillgren | ||||
| Board Member | 1.00 | $0 | $0 | $0 |
| Tracey Hosselkus | ||||
| Board Member | 1.00 | $0 | $0 | $0 |
| Lisa Lyon | ||||
| Board Member | 1.00 | $0 | $0 | $0 |
| Cynthia Martin | ||||
| Board Member | 1.00 | $0 | $0 | $0 |
| Joy Sheedy | ||||
| Board Member | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jennifer Charles | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2418 W 14th Street | AddressLine1Txt |
| City | Port Angeles | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98363 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3604610893 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,916 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,241 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,610 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,614 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $77,038 | CurrentTaxYearAmt |
| Total | $147,419 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $240 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,825 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $845 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,360 | CurrentTaxYearAmt |
| Total | $12,270 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,916 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,481 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,435 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,459 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $80,398 | CurrentTaxYearAmt |
| Total | $159,689 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $159,689 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,916 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,481 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,435 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,459 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $80,398 | CurrentTaxYearAmt |
| Total | $159,689 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00 | PublicSupportPY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part III - Line 12 | FormAndLineReferenceDesc |
| Explanation | | Year:, Amount:, Description:| 2017, , | 2018, | 2019, | 2020, | 2021, | | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Doing Business As Names | PREVENTION WORKS! A COMMUNITY COALITION OF CLALLAM COUNTY |
| Part I, line 16 | | Other Expenses:, Amount:| Part I - Line 16 Expenses Advertising $ 6431 Food $ 245 Insurance $ 2246 Membership License Dues $ 50 PO Box Fee $ 134 Thank You Gift $ 73 Website $ 1552 Zoom Meetings $ 159, $10890| |
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