FURP.ORG / PUBLIC DATA EXPLORER

BROKEN SPARROW INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BROKEN SPARROW INC (EIN 20-2905135)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-19
IRS object ID
201803249349300210
Schema version
2017v2.2
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)
Return2018-11-19T09:48:52-09:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSamuel MyersPreparerPersonNm
PTINP00314031PTIN
Phone9075294029PhoneNum
Preparation2018-11-12PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address72.42.147.12IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id9206662018319h000235FederalOriginalSubmissionId
Federal Original Submission Id2018-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE98E17553689B2C95B0D19BA40321A716F04EF20AtSubmissionCreationDeviceId
At Submission Filing Device IdE98E17553689B2C95B0D19BA40321A716F04EF20AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$72,425GrossReceiptsAmt
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$2TotalGrossUBIAmt
PY Contributions Grants$49,759PYContributionsGrantsAmt
CY Contributions Grants$72,423CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$2CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$49,759PYTotalRevenueAmt
CY Total Revenue$72,425CYTotalRevenueAmt
CY Grants And Similar Paid$10,782CYGrantsAndSimilarPaidAmt
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$69,349PYOtherExpensesAmt
CY Other Expenses$54,893CYOtherExpensesAmt
PY Total Expenses$69,349PYTotalExpensesAmt
CY Total Expenses$65,675CYTotalExpensesAmt
PY Revenues Less Expenses-$19,590PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,750CYRevenuesLessExpensesAmt
Total Assets BOY$1,680TotalAssetsBOYAmt
Total Assets EOY$2,500TotalAssetsEOYAmt
Total Liabilities BOY$20,000TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,000TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$18,320NetAssetsOrFundBalancesBOYAmt
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$65,655ExpenseAmt
Revenue$72,422RevenueAmt
DescTo provide short-term care to medically fragile and /or disabledDesc
Total Program Service Expenses$65,655TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
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 IndividualsYes (true)GrantsToIndividualsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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
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 BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldAKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

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$72,423AllOtherContributionsAmt
Total Contributions$72,423TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2TotalRevenueColumnAmt
Unrelated Business Revenue$2UnrelatedBusinessRevenueAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,425TotalRevenueColumnAmt
Unrelated Business Revenue$2UnrelatedBusinessRevenueAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$10,782TotalAmt
Program Services$10,782ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$825TotalAmt
Management And General$825ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20TotalAmt
Management And General$20ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$51,868TotalAmt
Program Services$51,868ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
Telephone$2,109$2,109
Repairs
BankbFees$71$71

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$65,675TotalAmt
Program Services$62,650ProgramServicesAmt
Management And General$3,025ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,680BOYAmt
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$1,680BOYAmt
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 SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$18,320BOYAmt
EOY-$17,500EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$18,320BOYAmt
EOY-$17,500EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,680BOYAmt
EOY$2,500EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$6,750ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

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$91,613CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$93,956CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,895CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,503CurrentTaxYearMinus1YearAmt
Current Tax Year$65,510CurrentTaxYearAmt
Total$360,477TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$91,613CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$93,956CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,895CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,503CurrentTaxYearMinus1YearAmt
Current Tax Year$65,510CurrentTaxYearAmt
Total$360,477TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$325,218SubstantialContributorsTotAmt
Public Support Total170$35,259PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,648CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,256CurrentTaxYearMinus1YearAmt
Current Tax Year$6,913CurrentTaxYearAmt
Total$38,898TotalAmt
FieldValueIRS element (for citing)
Total Support$399,375TotalSupportAmt
Public Support CY1700.08830PublicSupportCY170Pct
Public Support PY1700.08100PublicSupportPY170Pct
Private Foundation170Yes (X)PrivateFoundation170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

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

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCommuity OutreachGrantTypeTxt
Recipient5RecipientCnt
Cash Grant$10,781CashGrantAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990 pg 12FormAndLineReferenceDesc
ExplanationNo Federal grants receivedExplanationTxt