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CREATE YOUR STATEMENT: Form 990EZ, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CREATE YOUR STATEMENT (EIN 45-4505016)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-14
IRS object ID
201903189349205420
Schema version
2018v3.1
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)
Return2019-11-14T13:35:55-08:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911157591PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Gary P Kirchner CPA PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1427 W Sinto Suite 200AddressLine1Txt
CitySpokaneCityNm
State AbbreviationWAStateAbbreviationCd
ZIP992012465ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN454505016EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CREATE YOUR STATEMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCREABusinessNameControlTxt
Phone5099937000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 18934AddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99228ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNY MOELLERPersonNm
Person TitlePresidentPersonTitleTxt
Signature2019-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKYLE JORDAN CPAPreparerPersonNm
PTINP01287966PTIN
Phone5097771040PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressWWW.CREATEYOURSTATEMENT.COMWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$89,937GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$81,445ContributionsGiftsGrantsEtcAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Other Revenue Total$8,492OtherRevenueTotalAmt
Total Revenue$89,937TotalRevenueAmt
Salaries Other Comp Empl Bnft$60,419SalariesOtherCompEmplBnftAmt
Other Expenses Total$30,832OtherExpensesTotalAmt
Total Expenses$91,251TotalExpensesAmt
Excess Or Deficit For Year-$1,314ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$47,117NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$45,803NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$49,631BOYAmt
EOY$46,899EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
EOY$100EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$49,631BOYAmt
EOY$46,999EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,514BOYAmt
EOY$1,196EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$47,117BOYAmt
EOY$45,803EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeSTATEMENT WILL BRING EDUCATION AND AWARENESS TO THE PREVENTION OF DATING ABUSEWHILE PROMOTING LEADERSHIP AND CHARACTER DEVELOPMENT AMONG TODAYS YOUTH.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomSTATEMENT IS SPECIFICALLY MEETING A UNIQUE NEED IN WASHINGTON STATE BY FOCUSING ONTHE PREVENTION OF DATING ABUSE AS OPPOSED TO DOMESTIC VIOLENCE VICTIMRECOVERY.LEADERSHIP AND CHARACTER DEVELOPMENT IS ESSENTIAL IN THE STATEMENTPROGRAMS.DescriptionProgramSrvcAccomTxt
Grants And Allocations$19,524GrantsAndAllocationsAmt
Program Service Expenses$16,453ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$19,524TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
HEIDI LAURITZEN
President0$0
OPHELIA ARAUJO
Vice President0$0
JEFF NICCUM
Treasurer0$0
ED HOFFMAN
Director0$0
STEVE ANDERSON
Director0$0
BRAD MOELLER
Director0$0
YVONNE SMITH
Director0$0
ANNE COWLES
Director0$0
CASSIE ANDERSON
Secretary0$0
ANNE OAKLEY
Director0$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Organization Filed990 TfalseOrganizationFiled990TInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJENNY MOELLERPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 18934AddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99228ZIPCd
FieldValueIRS element (for citing)
Phone5099937000PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Form720 FiledfalseForm720FiledInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Related Org Sect527 OrgfalseRelatedOrgSect527OrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

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$47,036CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,457CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$79,674CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$144,840CurrentTaxYearMinus1YearAmt
Current Tax Year$89,937CurrentTaxYearAmt
Total$379,944TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$47,036CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,457CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$79,674CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$144,840CurrentTaxYearMinus1YearAmt
Current Tax Year$89,937CurrentTaxYearAmt
Total$379,944TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$379,944PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$379,944TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Revenue.1Program Revenue $8492
Other Expenses.1001Advertising and Promotion $1640
Other Expenses.1003Information Technology $856
Other Expenses.1CONTRACT SERVICES $8389
Other Expenses.2RENT $5695
Other Expenses.3TRAVEL $2663
Other Expenses.4BOARD MEETING $2308
Other Expenses.5INSURANCE $1961
Other Expenses.6MATERIAL $1782
Other Expenses.7PRINTING & Postage $1656
Other Expenses.8BANK SERVICE CHARGE $1621
Other Expenses.9APPRECIATION $1369
Other Expenses.10SUPPLIES $650
Other Expenses.11training $192
Other Expenses.12MISCELLANEOUS FEES $50
Other Assets.1005Accounts Receivable - Beginning $0 Accounts Receivable - Ending $100
Total Liabilities.1Payroll Liabilities - Beginning $2514 Payroll Liabilities - Ending $1196

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