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CREATE YOUR STATEMENT: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CREATE YOUR STATEMENT (EIN 45-4505016)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-18
IRS object ID
201742309349200524
Schema version
2016v3.0
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)
Return2017-08-18T11:46:44-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JORDAN HATFIELD LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line125 S BLAKE RDAddressLine1Txt
CitySPOKANE VALLEYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP992160793ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

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
Signature2017-08-18SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKyle R Jordan CPAPreparerPersonNm
PTINP01287966PTIN
Phone5099271040PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$79,674GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$25,946ContributionsGiftsGrantsEtcAmt
Program Service Revenue$3,657ProgramServiceRevenueAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$50,071FundraisingGrossIncomeAmt
Special Events Direct Expenses$21,470SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$28,601SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$58,204TotalRevenueAmt
Occupancy Rent Utlts And Maint$2,144OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$2,006PrintingPublicationsPostageAmt
Other Expenses Total$36,067OtherExpensesTotalAmt
Total Expenses$40,217TotalExpensesAmt
Excess Or Deficit For Year$17,987ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$8,693NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,680NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$8,693BOYAmt
EOY$26,680EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,693BOYAmt
EOY$26,680EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$8,693BOYAmt
EOY$26,680EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeStatement will bring education and awareness to the prevention of dating abuse while 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 on the prevention of dating abuse as opposed to domestic violence victim recovery.Leadership and character development is essential in the Statement programs. Statement launched a comprehensive program called "Take a Stand" in 2016 and were able to present this new ciriculum to over 1,600 students in public school settings in 2016 with new school opportunities coming in 2017.DescriptionProgramSrvcAccomTxt
Grants And Allocations$36,973GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$36,973TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
Karilynn Cunningham
Secretary0$0
Ophelia Araujo
Vice President0$0
Steve Anderson
Director0$0
Mike Smith
Director0$0
Kyle Jordan
Treasurer0$0
Brad Moeller
Director0$0
Michelle DeSpain
Director0$0
Klaire Powers
Director0$0
Heidi Lauritzen
President0$0
Yvonne Smith
Director0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
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 Minus2 Years$47,036CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,457CurrentTaxYearMinus1YearAmt
Current Tax Year$79,674CurrentTaxYearAmt
Total$145,167TotalAmt

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 Minus2 Years$47,036CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,457CurrentTaxYearMinus1YearAmt
Current Tax Year$79,674CurrentTaxYearAmt
Total$145,167TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$145,167PublicSupportTotal170Amt

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$145,167TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Annual BanquetEvent1Nm
Gross Receipts Event1$50,071GrossReceiptsEvent1Amt
Gross Revenue Event1$50,071GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,056NonCashPrizesEvent1Amt
Rent Facility Costs Event1$5,277RentFacilityCostsEvent1Amt
Food And Beverage Event1$11,012FoodAndBeverageEvent1Amt
Entertainment Event1$1,772EntertainmentEvent1Amt
Other Direct Expenses Event1$2,353OtherDirectExpensesEvent1Amt
Gross Receipts Total$50,071GrossReceiptsTotalAmt
Gross Revenue Total Events$50,071GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,056NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$5,277RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$11,012FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,772EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$2,353OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$21,470DirectExpenseSummaryEventsAmt
Net Income Summary$28,601NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1001Advertising and Promotion $1945
Other Expenses.1002Office Expenses $5342
Other Expenses.1005Travel $1154
Other Expenses.1012Insurance $153
Other Expenses.1Professional Services $22158
Other Expenses.2Donation $1815
Other Expenses.4Board Meeting Expenses $1514
Other Expenses.5CC Fee's $993
Other Expenses.6Program Supplies $993

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