THE KATIE BLESSING FOUNDATION: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
THE KATIE BLESSING FOUNDATION (EIN 87-2775360)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-22
IRS object ID
202243269349200304
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)
Return2022-11-22T08:32:08-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN464342401PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PETER BELL PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 11831AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP282201831ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN872775360EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE BLESSING FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBLESBusinessNameControlTxt
Phone7042770510PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14024 TRIANGLE DRIVEAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28208ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR MICHAEL ESTRAMONTEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7042770510PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDRPersonFirstNm
Person LastMICHAEL ESTRAMONTEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT E FORD CPAPreparerPersonNm
PTINP00047004PTIN
Phone7045259999PhoneNum
Preparation2022-11-15PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressHTTP://BLESSINGFOUNDATION.NET/WebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$40,000GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$40,000ContributionsGiftsGrantsEtcAmt
Total Revenue$40,000TotalRevenueAmt
Grants And Similar Amounts Paid$35,000GrantsAndSimilarAmountsPaidAmt
Total Expenses$35,000TotalExpensesAmt
Excess Or Deficit For Year$5,000ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$5,000NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,000EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,000EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

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

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,000EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTHE BLESSING FOUNDATION ASSISTS AND EMPOWERS UNDERSERVED COMMUNITIES THROUGH FAMILY-CENTERED CARE AND PROVIDES A COMPASS TOWARDS SELF SUFFICIENCY AND STABILITY. WE POSITIVELY IMPACT THE OVERALL HEALTH AND WELLNESS OF THE HISTORICALLY MARGINALIZED AND PROVIDE AN ADVANTAGE IN OVERCOMING SUBSTANDARD ENVIRONMENTAL CIRCUMSTANCES. * WE PROVIDE EQUITABLE ACCESS TO PRIMARY AND URGENT CARE SERVICES.* WE ESTABLISH "BLESSING CENTERS" IN ACCESSIBLE, CONTEXTUAL LARGE LOCATIONS THAT PROVIDE AWIDE ARRAY OF SERVICES FROM EDUCATION, TO COUNSELING, TO FOOD AND NUTRITION GUIDANCE.* WE IDENTIFY AND FILL SERVICE GAPS WITHIN THE HEALTHCARE SYSTEM THAT HAVE BEEN HISTORICALLY NEGLECTED THROUGHOUT UNDERSERVED COMMUNITIES INCLUDING MENTAL HEALTH, DENTAL CARE, AND SUBSTANCE ABUSE.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
THE ORGANIZATION PROVIDES EQUITABLE ACCESS TO PRIMARY AND URGENT CARE SERVICES.$0$0
THE ORGANIZATION ESTABLISHES CENTERS IN ACCESSIBLE, CONTEXTUAL TARGET LOCATIONS THAT PROVIDE A WIDE ARRAY OF SERVICES FROM EDUCATION, TO COUNSELING, TO FOOD AND NUTRITION GUIDANCE.$45,000$0
THE ORGANIZATION IDENTIFIES AND FILLS SERVICE GAPS WITHIN THE HEALTHCARE SYSTEM THAT HAVE BEEN HISTORICALLY NEGLECTED THROUGHOUT UNDERSERVED COMMUNITIES, INCLUDING MENTAL HEALTH, DENTAL CARE, AND SUBSTANCE ABUSE.$0$0
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (11 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DR MICHAEL ESTRAMONTE
PRESIDENT20.00$0$0$0
BRENNAN GOLDSMITH
TREASURER10.00$0$0$0
DR RICHARD BROWNE
DIRECTOR2.00$0$0$0
RAFAEL RODRIGUEZ
DIRECTOR2.00$0$0$0
BEVERLY MILLER EARLE
DIRECTOR0.00$0$0$0
IRVING B SAWYERS JR
DIRECTOR0.00$0$0$0
REVEREND LORENZO SMALL SR
DIRECTOR0.00$0$0$0
SANDRA LEE
DIRECTOR0.00$0$0$0
SENATOR ROB BRYAN
DIRECTOR0.00$0$0$0
JAMES MITCHELL
DIRECTOR0.00$0$0$0
JULIUS SPEARS
DIRECTOR0.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDR MICHAEL ESTRAMONTEPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14024 TRIANGLE DRIVEAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28208ZIPCd
FieldValueIRS element (for citing)
Phone7042770510PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year$40,000CurrentTaxYearAmt
Total$40,000TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year$40,000CurrentTaxYearAmt
Total$40,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$40,000PublicSupportTotal170Amt
Total Support$40,000TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDFormAndLineReferenceDesc
ExplanationACTIVITY CLASSIFICATION: . GRANTEE NAME: KRISTEN NICOLE VAUGHT. METHOD USED TO DETERMINE BOOK VALUE: CASH. METHOD USED TO DETERMINE FMV: CASH. DATE OF GIFT: 11/30/21. AMOUNT GIVEN: 35,000.ExplanationTxt

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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