BETA

FORGOTTEN DOG FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FORGOTTEN DOG FOUNDATION (EIN 27-0916948)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-11
IRS object ID
202113159349304656
Schema version
2020v4.1
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)
Return2021-11-11T12:01:35-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11925 CENTURY PARK E 16TH FLOORAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90067ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270916948EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE FORGOTTEN DOG FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFORGBusinessNameControlTxt
Phone3109902020PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11112 MONTANA AVE NO 166AddressLine1Txt
CitySANTA MONICACityNm
State AbbreviationCAStateAbbreviationCd
ZIP90403ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINZI GLASSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3109902020PhoneNum
Signature2021-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLINZIPersonFirstNm
Person LastGLASSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKALINA GRAYSONPreparerPersonNm
PTINP01685489PTIN
Phone3102732501PhoneNum
Preparation2021-11-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLINZI GLASSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11112 MONTANA AVE NO 166AddressLine1Txt
CitySANTA MONICACityNm
State AbbreviationCAStateAbbreviationCd
ZIP90403ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$308,116GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THEFORGOTTENDOG.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PREVENT CRUELTY TO ANIMALS BY RESCUING, REHABILITATING AND SHELTERING ANIMALS AND PLACING THEM IN ADOPTIVE HOMES, AND THROUGH EDUCATING THE PUBLIC ABOUT ANIMAL WELFARE, A SUBJECT USEFUL TO INDIVIDUALS AND BENEFICIAL TO THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$299,044PYContributionsGrantsAmt
CY Contributions Grants$308,077CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$53PYInvestmentIncomeAmt
CY Investment Income$39CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$299,097PYTotalRevenueAmt
CY Total Revenue$308,116CYTotalRevenueAmt
PY Grants And Similar Paid$22,037PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,090CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$72,596PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$51,468CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,551CYTotalFundraisingExpenseAmt
PY Other Expenses$208,723PYOtherExpensesAmt
CY Other Expenses$237,970CYOtherExpensesAmt
PY Total Expenses$303,356PYTotalExpensesAmt
CY Total Expenses$294,528CYTotalExpensesAmt
PY Revenues Less Expenses-$4,259PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,588CYRevenuesLessExpensesAmt
Total Assets BOY$5,249TotalAssetsBOYAmt
Total Assets EOY$18,837TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,249NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,837NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PREVENT CRUELTY TO ANIMALS BY RESCUING, REHABILITATING AND SHELTERING ANIMALS AND PLACING THEM IN ADOPTIVE HOMES, AND THROUGH EDUCATING THE PUBLIC ABOUT ANIMAL WELFARE, A SUBJECT USEFUL TO INDIVIDUALS AND BENEFICIAL TO THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$243,671ExpenseAmt
Grant$5,090GrantAmt
DescWE RESCUE, REHABILITATE AND RE-HOME DOGS OF ALL SHAPES AND SIZES, BUT THE MAJORITY OF OUR DOGS ARE UNDER 20 POUNDS. THESE "FORGOTTEN DOGS" ARE SHELTER DOGS THAT WERE SET TO BE EUTHANIZED, DOGS LEFT IN FORECLOSURES AND STARVING STRAYS RUNNING THE STREETS. WE TAKE IN DOGS THAT PEOPLE CAN NO LONGER AFFORD TO KEEP AND ABUSED DOGS THAT ARE REMOVED FROM THEIR NEGLECTFUL OWNERS. WE PRIDE OURSELVES ON THE FACT THAT ALL OF OUR DOGS, ONCE RESCUED, GO INTO PRIVATE FOSTER HOMES, WHERE THEY ARE CARED FOR IN A LOVING ENVIRONMENT BEFORE BEING ADOPTED. OUR DOGS ARE ALL VETTED, GROOMED AND FED WHOLESOME FOOD. THEY GO FROM SCARED AND HUNGRY TO SASSY AND HAPPY IN JUST MERE WEEKS! SINCE OUR FORMATION AS A NON-PROFIT IN 2009, WE HAVE PLACED OVER 2,000 DOGS INTO LOVING FOREVER HOMES. WE DO OUTREACH SPAY/NEUTER PROGRAMS AND CONDUCT EDUCATIONAL PROGRAMS SO THAT PEOPLE LEARN HOW TO CARE FOR A PET PROPERLY. THESE PROGRAMS ARE WITHIN THEUSA AND ABROAD SOMETIMES WITH A PARTNER ORGANIZATION.Desc
Total Program Service Expenses$243,671TotalProgramServiceExpensesAmt
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 EquipmentYes (1)ReportLandBuildingEquipmentInd
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 OfficeYes (1)ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
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 EntYes (1)BusinessRlnWith35CtrlEntInd
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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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 PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE FORGOTTEN DOG FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3109902020PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11112 MONTANA AVE STE 166AddressLine1Txt
CitySANTA MONICACityNm
State AbbreviationCAStateAbbreviationCd
ZIP90403ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JAIMIE DU BOIS
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
GINA CASTILLO
SECRETARY49.00Yes (X)Yes (X)$13,930$0$0
EMILY HERAKOVICH
TREASURER7.00Yes (X)Yes (X)$500$0$0
LINZI GLASS
EXECUTIVE DIRECTOR58.00Yes (X)Yes (X)$30,100$0$6,938
MICHAEL LUSHING
DIRECTOR1.00Yes (X)$0$0$0
CARY GRANAT
DIRECTOR1.00Yes (X)$0$0$0
LILY EBEY-FIELD
DIRECTOR0.10Yes (X)$0$0$0
CHRISTINE BUFFER
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$44,530TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$6,938TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$308,077AllOtherContributionsAmt
Total Contributions$308,077TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$39TotalRevenueColumnAmt
Exclusion$39ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$308,116TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$39ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,090TotalAmt
Program Services$5,090ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$51,468TotalAmt
Program Services$40,785ProgramServicesAmt
Management And General$9,295ManagementAndGeneralAmt
Fundraising$1,388FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,058TotalAmt
Management And General$9,058ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,375TotalAmt
Program Services$27,946ProgramServicesAmt
Management And General$1,429ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,235TotalAmt
Management And General$12,072ManagementAndGeneralAmt
Fundraising$1,163FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,809TotalAmt
Management And General$3,809ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$89,937TotalAmt
Program Services$80,505ProgramServicesAmt
Management And General$9,432ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$862TotalAmt
Program Services$431ProgramServicesAmt
Management And General$431ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$378TotalAmt
Program Services$189ProgramServicesAmt
Management And General$189ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$77TotalAmt
Program Services$77ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,649TotalAmt
Program Services$2,143ProgramServicesAmt
Management And General$2,506ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DOG - FOOD & SUPPLIES$57,340$57,340
DOG - MEDICAL EXPENSES$27,125$27,125
VEHICLE EXPENSES$2,040$2,040
FILING FEES$85$85

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$294,528TotalAmt
Program Services$243,671ProgramServicesAmt
Management And General$48,306ManagementAndGeneralAmt
Fundraising$2,551FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,573BOYAmt
EOY$7,140EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$279BOYAmt
EOY$9,377EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,842LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,522LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,397BOYAmt
EOY$2,320EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,249BOYAmt
EOY$18,837EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,249BOYAmt
EOY$18,837EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,249BOYAmt
EOY$18,837EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,249BOYAmt
EOY$18,837EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$13,588ReconcilationRevenueExpnssAmt
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$220,042CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$238,560CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$261,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$299,044CurrentTaxYearMinus1YearAmt
Current Tax Year$308,077CurrentTaxYearAmt
Total$1,327,602TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$220,042CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$238,560CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$261,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$299,044CurrentTaxYearMinus1YearAmt
Current Tax Year$308,077CurrentTaxYearAmt
Total$1,327,602TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$514,720SubstantialContributorsTotAmt
Public Support Total170$812,882PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53CurrentTaxYearMinus1YearAmt
Current Tax Year$39CurrentTaxYearAmt
Total$204TotalAmt
FieldValueIRS element (for citing)
Total Support$1,327,806TotalSupportAmt
Public Support CY1700.61220PublicSupportCY170Pct
Public Support PY1700.51840PublicSupportPY170Pct
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 D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,000OtherCostOrOtherBasisAmt
Depreciation$680DepreciationAmt
Book Value$2,320BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,842OtherCostOrOtherBasisAmt
Depreciation$20,842DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,320TotalBookValueLandBuildingsAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLINZI GLASSPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionOFFICER AND DIRECTORRelationshipDescriptionTxt
Transaction$51,300TransactionAmt
TransactionRENT PAID TO CONTROLLED ENTITYTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY THE ORGANIZATION'S PUBLIC ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. ONCE A DRAFT IS AVAILABLE, THE RETURN IS REVIEWED BY MANAGEMENT BEFORE BEING PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL PRIOR TO FILING."
FORM 990, PART VI, SECTION B, LINE 12CINTEREST PERSON MUST DISCLOSE THE EXISTANCE OF THE FINANCIAL INTEREST. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

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