SAFE STATES ALLIANCE: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SAFE STATES ALLIANCE (EIN 73-1455152)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-01-29
- IRS object ID
- 202110299349300706
- Schema version
- 2019v5.0
- 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 | 2021-01-29T08:56:51-06:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 845078796 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIEDMONT ACCOUNTING & BUSINESS SOLUTIONS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5476 SOUTHPORT CLOSE | AddressLine1Txt |
| City | PEACHTREE CORNERS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30092 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731455152 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAFE STATES ALLIANCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAFE | BusinessNameControlTxt |
| Phone | 7706909000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5456 PEACHTREE BLVD 244 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30341 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD HAMBURG | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7706909000 | PhoneNum |
| Signature | 2021-01-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LISA H DIAL | PreparerPersonNm |
| PTIN | P00183074 | PTIN |
| Phone | 4048081961 | PhoneNum |
| Preparation | 2021-01-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD HAMBURG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5456 PEACHTREE BLVD 244 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30341 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,557,032 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAFESTATES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF SAFE STATES ALLIANCE IS TO STRENGTHEN THE PRACTICE OF INJURY AND VIOLENCE PREVENTION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 9 | TotalEmployeeCnt |
| Total Volunteers | 157 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $992,357 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,459,490 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $153,050 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $89,025 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,708 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,409 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,390 | PYOtherRevenueAmt |
| CY Other Revenue | $108 | CYOtherRevenueAmt |
| PY Total Revenue | $1,170,505 | PYTotalRevenueAmt |
| CY Total Revenue | $1,557,032 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $8,078 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $813,031 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $999,588 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $405,374 | PYOtherExpensesAmt |
| CY Other Expenses | $530,509 | CYOtherExpensesAmt |
| PY Total Expenses | $1,218,405 | PYTotalExpensesAmt |
| CY Total Expenses | $1,538,175 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$47,900 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $18,857 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $488,464 | TotalAssetsBOYAmt |
| Total Assets EOY | $634,112 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $169,363 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $290,183 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $319,101 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $343,929 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF SAFE STATES ALLIANCE IS TO STRENGTHEN THE PRACTICE OF INJURY AND VIOLENCE PREVENTION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,406,370 | ExpenseAmt |
| Grant | $8,078 | GrantAmt |
| Desc | COOPERATIVE AGREEMENTS WITH GOVERNMENT AGENCIES TO SUPPORT THE DEVELOPMENT OF CORE PUBLIC HEALTH FUNCTIONS & CAPACITIES RELATED TO INJURY PREVENTION & CONTROL. MEMBERSHIP SERVICES INCLUDING DISSEMINATION OF INJURY PREVENTION DATA AND INFORMATION TRAINING, PROFESSIONAL DEVELOPMENT AND INJURY PREVENTION EDUCATION. | Desc |
| Total Program Service Expenses | $1,406,370 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 9 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE WYNN | PersonNm |
| Phone | 7706909000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5456 PEACHTREE BLVD 244 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30341 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| RICHARD HAMBURG | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $149,170 | $0 | $24,703 | |
| SHARON GILMARTIN | ||||||
| DEPUTY DIREC | 40.00 | Yes (X) | $100,962 | $0 | $5,460 | |
| MICHELLE WYNN | ||||||
| DIR FINANCE | 30.00 | Yes (X) | $77,020 | $0 | $3,631 | |
| JOLA AHAMIOJIE | ||||||
| MEMBER AT LA | 2.00 | $0 | $0 | $0 | Yes (X) | |
| MICHAEL BAUER | ||||||
| PRESIDENT | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MIGHTY FINE | ||||||
| MEMBER AT LA | 2.00 | $0 | $0 | $0 | Yes (X) | |
| TONY GOMEZ | ||||||
| MEMBER AT LA | 2.00 | $0 | $0 | $0 | Yes (X) | |
| COLLEEN KAPSIMALIS-DOYLE | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KIRSTIN MCFARLAND | ||||||
| TREASURER | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| LINDSEY MYERS | ||||||
| PAST PRESIDE | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PEG OGEA-GINSBURG | ||||||
| VICE PRESIDE | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| LISA ROTH | ||||||
| MEMBER AT LA | 2.00 | $0 | $0 | $0 | Yes (X) | |
| NIDHI SACHDEVA | ||||||
| MEMBER AT LA | 2.00 | $0 | $0 | $0 | Yes (X) | |
| MANDY SLAG | ||||||
| MEMBER AT LA | 2.00 | $0 | $0 | $0 | Yes (X) | |
| JANET WERST | ||||||
| MEMBER AT LA | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $327,152 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $33,794 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Membership Dues | $54,727 | MembershipDuesAmt |
| Government Grants | $1,388,556 | GovernmentGrantsAmt |
| All Other Contributions | $16,207 | AllOtherContributionsAmt |
| Total Contributions | $1,459,490 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONFERENCE REGISTRATION | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $89,025 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $89,025 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $89,025 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,409 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,714 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,695 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $108 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $108 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $108 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,557,032 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $93,847 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,695 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,078 | TotalAmt |
| Program Services | $8,078 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,152 | TotalAmt |
| Program Services | $304,252 | ProgramServicesAmt |
| Management And General | $22,900 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $468,648 | TotalAmt |
| Program Services | $436,102 | ProgramServicesAmt |
| Management And General | $32,546 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,456 | TotalAmt |
| Program Services | $26,284 | ProgramServicesAmt |
| Management And General | $2,172 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,953 | TotalAmt |
| Program Services | $88,782 | ProgramServicesAmt |
| Management And General | $25,171 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,379 | TotalAmt |
| Program Services | $56,885 | ProgramServicesAmt |
| Management And General | $4,494 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399 | TotalAmt |
| Program Services | $399 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,499 | TotalAmt |
| Program Services | $29,499 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,558 | TotalAmt |
| Program Services | $329,558 | ProgramServicesAmt |
| Management And General | $27,000 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,989 | TotalAmt |
| Program Services | $11,447 | ProgramServicesAmt |
| Management And General | $1,542 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,324 | TotalAmt |
| Program Services | $51,324 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,462 | TotalAmt |
| Program Services | $10,462 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,255 | TotalAmt |
| Program Services | $19,288 | ProgramServicesAmt |
| Management And General | $7,967 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,458 | TotalAmt |
| Program Services | $9,267 | ProgramServicesAmt |
| Management And General | $3,191 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,294 | TotalAmt |
| Program Services | $7,294 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER PROGRAM EXPENSES | $7,676 | $7,676 | |
| TELEPHONE & COMMUNICATION | $7,582 | $7,582 | |
| MISCELLANEOUS | $7,013 | $2,191 | $4,822 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,538,175 | TotalAmt |
| Program Services | $1,406,370 | ProgramServicesAmt |
| Management And General | $131,805 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,425 | BOYAmt |
| EOY | $90,742 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,544 | BOYAmt |
| EOY | $192,836 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,987 | BOYAmt |
| EOY | $324,115 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,508 | BOYAmt |
| EOY | $26,419 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,464 | BOYAmt |
| EOY | $634,112 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,104 | BOYAmt |
| EOY | $231,115 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,259 | BOYAmt |
| EOY | $59,068 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,363 | BOYAmt |
| EOY | $290,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,882 | BOYAmt |
| EOY | $343,710 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219 | BOYAmt |
| EOY | $219 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,101 | BOYAmt |
| EOY | $343,929 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,464 | BOYAmt |
| EOY | $634,112 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $18,857 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,971 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,196,801 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,241,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,247,549 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $992,357 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,459,490 | CurrentTaxYearAmt |
| Total | $7,137,473 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,196,801 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,241,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,247,549 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $992,357 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,459,490 | CurrentTaxYearAmt |
| Total | $7,137,473 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,989,341 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,148,132 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,982 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,252 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,155 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,144 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,695 | CurrentTaxYearAmt |
| Total | $34,228 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,171,701 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $412,462 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.57840 | PublicSupportCY170Pct |
| Public Support PY170 | 0.75490 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (true) | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | Yes (true) | MailingsMembersInd |
| Mailings Members | $838 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $2,201 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $3,039 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | 1A- 55 POLICY COMMITTEE VOLUNTEERS MEET PERIODICALLY. 1B- STAFF AND CONSULTANTS MEET MONTHLY WITH PARTNERS. 1D- EMAIL MESSAGES CONTAINING INFORMATION TO MEMBERS TO USE IN CONTACTING MEMBERS OF CONGRESS AND THEIR STAFF RELATED TO POLICY ISSUES. 1G- SAFE STATES REPRESENTATIVES MEET WITH LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENT OFFICIALS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,563,003 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $5,971 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $5,971 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,557,032 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,557,032 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,538,175 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,538,175 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,538,175 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE ASSOCIATION HAS BEEN APPROVED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AS A TAX-EXEMPT ASSOCIATION. THE ASSOCIATION IS SUBJECT TO TAXES ON INCOME NOT RELATED TO ITS EXEMPT PURPOSE. THERE IS NO INCOME NOT RELATED TO ITS EXEMPT PURPOSE FOR THE FYE 09/30/20. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. MANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ASSOCIATIONS FILINGS FOR THE PREVIOUS THREE YEARS REMAIN OPEN FOR POTENTIAL EXAMINATION AS OF 09/30/20. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONNECTICUT CHILDRENS MEDICAL CENTE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 282 WASHINGTON STREET | AddressLine1Txt |
| City | HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06106 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash Grant | $8,078 | CashGrantAmt |
| Purpose Of Grant | DRIVER BEHAVIOUR CHA | PurposeOfGrantTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | EACH GRANTEE SUBMITTED AN ACTION PLAN AT THE BEGINNING OF THE PROJECT, WHICH INCLUDED A DETAILED BUDGET. THE APPROVED GRANTEE BUDGET WAS MONITORED THROUGH THE SUBMISSION OF TWO INTERIM REPORTS AND A FINAL REPORT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD HAMBURG | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $149,170 | BaseCompensationFilingOrgAmt |
| Deferred Compensation Flng Org | $24,703 | DeferredCompensationFlngOrgAmt |
| Total Compensation Filing Org | $173,873 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 6 | A.INDIVIDUAL MEMBERSHIP: INDIVIDUAL MEMBERSHIP SHALL BE OPEN TO ANY EMPLOYEE OF STATE, TERRITORIAL OR LOCAL HEALTH DEPARTMENTS, AND ANY INDIVIDUAL, AGENCY OR ORGANIZATION HAVING AN INTEREST IN INJURY AND VIOLENCE PREVENTION AND CONTROL. INDIVIDUAL MEMBERS SHALL CAST ONE VOTE ON ALL MATTERS BEFORE THE CORPORATION, AND SHALL HAVE EQUAL RIGHTS AMONG THE MEMBERSHIP. I.STATE/TERRITORY DESIGNATED REPRESENTATIVE: THE HEALTH COMMISSIONER OR HIGHEST RANKING PUBLIC HEALTH OFFICIAL FROM EACH STATE AND TERRITORY OF THE UNITED STATES OF AMERICA AND THE DISTRICT OF COLUMBIA SHALL DESIGNATE AN INJURY AND VIOLENCE PREVENTION REPRESENTATIVE TO SAFE STATES. B.ADDITIONAL CLASSES OF MEMBERSHIP: ADDITIONAL CLASSES OF MEMBERSHIP MAY BE DEVELOPED AS NECESSARY. ADDITIONAL CLASSES OF MEMBERSHIP WILL HAVE VOTING PRIVILEGES ON ALL MATTERS BEFORE THE CORPORATION, AND ANY ADDITIONAL CLASS OF MEMBERSHIP WILL HAVE EQUAL RIGHTS WITHIN THAT CLASS. THE NUMBER, QUALIFICATIONS, LIQUIDATION RIGHTS, PREFERENCES AND LIMITATIONS OF THE MEMBERS, INCLUDING THE RELATIVE NUMBER, QUALIFICATIONS, LIQUIDATION RIGHTS, PREFERENCES, LIMITATIONS, AND OTHER RIGHTS, PREFERENCES AND LIMITATIONS OF OR UPON EACH CLASS OF MEMBERS SHALL BE ESTABLISHED IN THE SAFE STATES OPERATIONAL POLICY AND PROCEDURES MANUAL. RULES DEVELOPED REGARDING CLASSES OF MEMBERSHIP SHALL BE REASONABLE, GERMANE TO THE PURPOSES OF THE CORPORATION, AND EQUALLY ENFORCED AS TO ALL MEMBERS OF EACH CLASS. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE MEMBERS ELECT THE GOVERNING BODY. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE MEMBERS ARE REQUIRED TO VOTE ON ANY REVISION TO THE BYLAWS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 IS DISTRIBUTED TO THE BOARD MEMBERS AND REVIEWED AT THE NEXT CONFERENCE CALL MEETING PRIOR TO FILING THE FORM. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANNUAL DISCLOSURES ARE MONITORED BY THE EXECUTIVE COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | APPROVED DURING ANNUAL BUDGET PROCESS BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | APPROVED DURING ANNUAL BUDGET PROCESS BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES 329,558 27,000 0 |