FURP.ORG / PUBLIC DATA EXPLORER

BROKEN SPARROW INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BROKEN SPARROW INC (EIN 20-2905135)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-08-15
IRS object ID
202042289349300409
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

FieldValueIRS element (for citing)
Return2020-08-15T10:34:34-08:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Sam the TaxManBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14025 MacInnes StAddressLine1Txt
CityANCHORAGECityNm
State AbbreviationAKStateAbbreviationCd
ZIP99508ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN202905135EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Broken Sparrow IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBROKBusinessNameControlTxt
Phone9072724432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13231 Dora AvenueAddressLine1Txt
CityANCHORAGECityNm
State AbbreviationAKStateAbbreviationCd
ZIP99516ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMonte WilliamsPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2020-07-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSamuel MyersPreparerPersonNm
PTINP00314031PTIN
Phone9075294029PhoneNum
Preparation2020-07-15PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address185.152.67.11IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id9206662020224j000236FederalOriginalSubmissionId
Federal Original Submission Id2020-08-11FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA1FE49C75E323A063D2C441238C6D5FF0835F417AtSubmissionCreationDeviceId
At Submission Filing Device IdABDBAC7CCEE57308DA8F0A487F2F7EA869D9FA0DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMonte WilliamsPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13231 Dora AvenueAddressLine1Txt
CityANCHORAGECityNm
State AbbreviationAKStateAbbreviationCd
ZIP99516ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$78,164GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateAKLegalDomicileStateCd
Activity Or MissionTo provide short-term care to medically fragile and/or disable infants and children when they no longer need acute hospital care.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$75,688PYContributionsGrantsAmt
CY Contributions Grants$78,164CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$75,688PYTotalRevenueAmt
CY Total Revenue$78,164CYTotalRevenueAmt
PY Grants And Similar Paid$3,911PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,050CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$64,545PYOtherExpensesAmt
CY Other Expenses$72,993CYOtherExpensesAmt
PY Total Expenses$68,456PYTotalExpensesAmt
CY Total Expenses$76,043CYTotalExpensesAmt
PY Revenues Less Expenses$7,232PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,121CYRevenuesLessExpensesAmt
Total Assets BOY$2,500TotalAssetsBOYAmt
Total Assets EOY$2,500TotalAssetsEOYAmt
Total Liabilities BOY$20,000TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,000TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$17,500NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$17,500NetAssetsOrFundBalancesEOYAmt
MissionTo provide short-term care to medically fragile and/or disable infants and children when they no longer need hospital care.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$76,304ExpenseAmt
Revenue$78,164RevenueAmt
DescTo provide short-term care to medically fragile and /or disabledDesc
Total Program Service Expenses$76,304TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyfalseMinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMonte WilliamsPersonNm
Phone9072724432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13231 Dora AvenuAddressLine1Txt
CityANCHORAGECityNm
State AbbreviationAKStateAbbreviationCd
ZIP99516ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtInstitutional TrusteeInstitutionalTrusteeInd
Darlene Willia
Director20Yes (X)Yes (X)$0$0$0
Monte Williams
President25Yes (X)$0$0$0
Lenore Lowery
Vice President20Yes (X)$0$0$0
George Lowery
Treasurer20Yes (X)$0$0$0
Mindy Seay
Secretary15Yes (X)$0$0$0
Darlene Willia
Director20Yes (X)$0$0$00
Monte Williams
President25$0$0$00Yes (X)
Lenore Lowery
Vice President20$0$0$00Yes (X)
George Lowery
Treasurer20$0$0$00Yes (X)
Mindy Seay
Secretary15$0$0$00Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$78,164AllOtherContributionsAmt
Total Contributions$78,164TotalContributionsAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,164TotalRevenueColumnAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$3,050TotalAmt
Program Services$3,050ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,254TotalAmt
Program Services$1,254ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$57,373TotalAmt
Program Services$57,373ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Telephone$2,291$2,291
Repairs$259$259
Bank Fees$60$60
Utilities$11,756$11,756

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$76,043TotalAmt
Program Services$76,043ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$2,500EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,187LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,187LandBldgEquipAccumDeprecAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$2,500EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$20,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$20,000EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$17,500BOYAmt
EOY-$17,500EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$17,500BOYAmt
EOY-$17,500EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$2,500EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,121ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,895CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,503CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,510CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$68,478CurrentTaxYearMinus1YearAmt
Current Tax Year$74,909CurrentTaxYearAmt
Total$318,295TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,895CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,503CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,510CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$68,478CurrentTaxYearMinus1YearAmt
Current Tax Year$74,909CurrentTaxYearAmt
Total$318,295TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$318,295PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,433CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,256CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,913CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,210CurrentTaxYearMinus1YearAmt
Current Tax Year$3,255CurrentTaxYearAmt
Total$32,067TotalAmt
FieldValueIRS element (for citing)
Total Support$350,362TotalSupportAmt
Public Support CY1700.09080PublicSupportCY170Pct
Public Support PY1700.09090PublicSupportPY170Pct
Private Foundation170Yes (X)PrivateFoundation170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart II Line 10FormAndLineReferenceDesc
ExplanationSmall individual gifts.ExplanationTxt

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 pg 12FormAndLineReferenceDesc
ExplanationNo Federal grants receivedExplanationTxt