JACKSON IN ACTION 83 FOUNDATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
JACKSON IN ACTION 83 FOUNDATION INC (EIN 46-0652996)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202233189349315878
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)
Return2022-11-14T16:32:54-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 2ND AVENUE S 600AddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33701ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460652996EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JACKSON IN ACTION 83 FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJACKBusinessNameControlTxt
Phone8137859249PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13225 S MACDILL AVE STE 129AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33629ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDSEY JACKSONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8137859249PhoneNum
Signature2022-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLINDSEYPersonFirstNm
Person LastJACKSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCATHERINE MARY SULLIVANPreparerPersonNm
PTINP01265964PTIN
Phone7278216161PhoneNum
Preparation2022-11-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLINDSEY JACKSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13225 S MACDILL AVE STE 129AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33629ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$252,963GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JASKSONINACTION83.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE JACKSON IN ACTION 83 FOUNDATION IS TO PROVIDE SUPPORT FOR MILITARY FAMILIES, FOCUSING ON THE EDUCATIONAL, EMOTIONAL, AND PHYSICAL HEALTH OF THE CHILDREN. THE ORGANIZATION WAS FOUNDED BY MILITARY CHILD AND FORMER NFL WIDE RECEIVER VINCENT JACKSON AND HIS WIFE, LINDSEY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$40,474PYContributionsGrantsAmt
CY Contributions Grants$235,026CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,813PYInvestmentIncomeAmt
CY Investment Income$5CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue-$1,676CYOtherRevenueAmt
PY Total Revenue$43,287PYTotalRevenueAmt
CY Total Revenue$233,355CYTotalRevenueAmt
PY Grants And Similar Paid$13,150PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$50,414PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$52,500CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$22,839PYOtherExpensesAmt
CY Other Expenses$43,860CYOtherExpensesAmt
PY Total Expenses$86,403PYTotalExpensesAmt
CY Total Expenses$106,860CYTotalExpensesAmt
PY Revenues Less Expenses-$43,116PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$126,495CYRevenuesLessExpensesAmt
Total Assets BOY$108,119TotalAssetsBOYAmt
Total Assets EOY$184,914TotalAssetsEOYAmt
Total Liabilities BOY$49,700TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$58,419NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$184,914NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OTHE MISSION OF THE JACKSON IN ACTION 83 FOUNDATION IS TO PROVIDE SUPPORT FOR MILITARY FAMILIES, FOCUSING ON THE EDUCATIONAL, EMOTIONAL, AND PHYSICAL HEALTH OF THE CHILDREN. THE ORGANIZATION WAS FOUNDED BY MILITARY CHILD AND FORMER NFL WIDE RECEIVER VINCENT JACKSON AND HIS WIFE, LINDSEY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$80,996ExpenseAmt
DescPROGRAMS INCLUDE THE YOUTH IN ACTION CAMP FOR MILITARY CHILDREN, HOLIDAY PROGRAMS, AND VARIOUS OUTINGS FOR MILITARY CHILDREN THROUGHOUT THE YEAR.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,500ExpenseAmt
Grant$10,500GrantAmt
DescOUR SALUTE TO SCHOLARS PROGRAM PROVIDES SCHOLARSHIP MONEY ANNUALLY TO THREE HIGH SCHOOL AGED RECIPIENTS IN THE TAMPA BAY AREA AND THREE MORE IN THE COLORADO SPRINGS AREA WHO RECEIVE SCHOLARSHIPS OF $2,500, $1,000, AND $500. TO APPLY FOR THE SCHOLARSHIP, STUDENTS MUST BE THE DEPENDENT OF AN ACTIVE DUTY, RETIRED, OR DECEASED MEMBER OF THE MILITARY. STUDENTS MUST WRITE TWO ESSAYS, ONE DESCRIBING WHAT CAREER PATH THEY PLAN TO TAKE AND ANOTHER DESCRIBING WHAT IT MEANS TO THEM TO HAVE A PARENT/GUARDIAN WHO SERVED IN THE ARMED FORCES. THE FOUNDATION ALSO AWARDS THREE SCHOLARSHIPS TO VETERANS IN THE AMOUNTS OF $2,500, $1,000, AND $500 WHO NEED TO COMPLETE A DEGREE OR CONTINUING EDUCATION CREDITS TO KEEP OR OBTAIN A CIVILIAN JOB.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,000ExpenseAmt
DescMILITARY MOMS BABY SHOWER - PROVIDE ITEMS ESSENTIAL FOR THE CARE OF NEWBORNS TO MILITARY FAMILIES WHO ARE WITHOUT A SUPPORT SYSTEM OF FAMILY AND/OR FRIENDS. ITEMS INCLUDE BABY STROLLERS, CAR SEATS, SECURITY SYSTEMS, CRIBS, CRIB SHEETS, BOTTLES, PACIFIERS, PARENTING BOOKS AND COUNSELING.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$96,496TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonALLISON GORRELLPersonNm
Phone8137859249PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13225 S MACDILL AVE STE 129AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33629ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LINDSEY JACKSON
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
RALPH SEVELIUS
DIRECTOR1.00Yes (X)$0$0$0
ARI HARGRAVE
DIRECTOR1.00Yes (X)$0$0$0
REBEKA NAULT
DIRECTOR1.00Yes (X)$0$0$0
BLAKE GUTHRIE
DIRECTOR1.00Yes (X)$0$0$0
YVETTE SEGURA
DIRECTOR1.00Yes (X)$0$0$0
ALLISON GORRELL
EXECUTIVE DIRECTOR20.00Yes (X)$52,500$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$52,500TotalReportableCompFromOrgAmt
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
Fundraising$30,153FundraisingAmt
All Other Contributions$204,873AllOtherContributionsAmt
Total Contributions$235,026TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5TotalRevenueColumnAmt
Exclusion$5ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$182TotalRevenueColumnAmt
Exclusion$182ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$17,750FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$30,153ContriRptFundraisingEventAmt
Fundraising Direct Expenses$19,608FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,858TotalRevenueColumnAmt
Exclusion-$1,858ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$233,355TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$1,671ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$10,500TotalAmt
Program Services$10,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$52,500TotalAmt
Program Services$47,250ProgramServicesAmt
Management And General$5,250ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,700TotalAmt
Management And General$4,700ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,005TotalAmt
Program Services$1,804ProgramServicesAmt
Management And General$201ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,922TotalAmt
Program Services$2,922ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,818TotalAmt
Program Services$1,818ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,130TotalAmt
Program Services$1,917ProgramServicesAmt
Management And General$213ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$433TotalAmt
Program Services$433ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$866TotalAmt
Program Services$866ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$430TotalAmt
Program Services$430ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
EVENT EXPENSES$26,494$26,494
BOOKS, SUBSCRIPTIONS, R$2,062$2,062

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$106,860TotalAmt
Program Services$96,496ProgramServicesAmt
Management And General$10,364ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$58,417BOYAmt
EOY$84,907EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$49,702BOYAmt
EOY$100,007EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$108,119BOYAmt
EOY$184,914EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,700BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,700BOYAmt
EOY$0EOYAmt
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$58,419BOYAmt
EOY$184,914EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$58,419BOYAmt
EOY$184,914EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$108,119BOYAmt
EOY$184,914EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$126,495ReconcilationRevenueExpnssAmt
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$141,283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$80,886CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$124,205CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,474CurrentTaxYearMinus1YearAmt
Current Tax Year$235,026CurrentTaxYearAmt
Total$621,874TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$141,283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$80,886CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$124,205CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,474CurrentTaxYearMinus1YearAmt
Current Tax Year$235,026CurrentTaxYearAmt
Total$621,874TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$36,002SubstantialContributorsTotAmt
Public Support Total170$585,872PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$2,813CurrentTaxYearMinus1YearAmt
Current Tax Year$188CurrentTaxYearAmt
Total$3,001TotalAmt
FieldValueIRS element (for citing)
Total Support$624,875TotalSupportAmt
Public Support CY1700.93760PublicSupportCY170Pct
Public Support PY1700.86190PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$47,903GrossReceiptsEvent1Amt
Charitable Contri Event1$30,153CharitableContriEvent1Amt
Gross Revenue Event1$17,750GrossRevenueEvent1Amt
Rent Facility Costs Event1$16,276RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$3,332OtherDirectExpensesEvent1Amt
Gross Receipts Total$47,903GrossReceiptsTotalAmt
Charitable Contributions Tot$30,153CharitableContributionsTotAmt
Gross Revenue Total Events$17,750GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$16,276RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$3,332OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$19,608DirectExpenseSummaryEventsAmt
Net Income Summary-$1,858NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient7RecipientCnt
Cash Grant$10,500CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTO APPLY FOR THE SCHOLARSHIP, STUDENTS MUST BE THE DEPENDENT OF AN ACTIVE DUTY, RETIRED, OR DECEASED MEMBER OF THE MILITARY. STUDENTS MUST WRITE TWO ESSAYS, ONE DESCRIBING WHAT CAREER PATH THEY PLAN TO TAKE AND ANOTHER DESCRIBING WHAT IT MEANS TO THEM TO HAVE A PARENT/GUARDIAN WHO SERVED IN THE ARMED FORCES. THE FOUNDATION ALSO AWARDS THREE SCHOLARSHIPS TO VETERANS WHO NEED TO COMPLETE A DEGREE OR CONTINUING EDUCATION CREDITS TO KEEP OR OBTAIN A CIVILIAN JOB.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE RETURN IS MADE AVAILABLE TO THE GOVERNING BODY BEFORE FILING
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST.

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