BETA

CREATE YOUR STATEMENT: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CREATE YOUR STATEMENT (EIN 45-4505016)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201623199349204057
Schema version
2015v2.0
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)
Return2016-11-14T13:59:58-08:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKyle R Jordan CPAPreparerPersonNm
PTINP01287966PTIN
Phone5099271040PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$18,457GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$17,957ContributionsGiftsGrantsEtcAmt
Program Service Revenue$500ProgramServiceRevenueAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$18,457TotalRevenueAmt
Printing Publications Postage$3,697PrintingPublicationsPostageAmt
Other Expenses Total$24,398OtherExpensesTotalAmt
Total Expenses$28,095TotalExpensesAmt
Excess Or Deficit For Year-$9,638ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$18,331NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,693NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$18,331BOYAmt
EOY$8,693EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,331BOYAmt
EOY$8,693EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$18,331BOYAmt
EOY$8,693EOYAmt
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. Students will learn how to set boundaries, set and achieve goals, effective ways of dealing with conflict, the importance of volunteering in their community, and how to maintain a positive self-esteem. Since 2013, the program has been presented to over 2,000 students.DescriptionProgramSrvcAccomTxt
Grants And Allocations$28,031GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$28,031TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
Jenny Moeller
President0$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
Secretary0$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 Minus1 Year$47,036CurrentTaxYearMinus1YearAmt
Current Tax Year$18,457CurrentTaxYearAmt
Total$65,493TotalAmt

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 Minus1 Year$47,036CurrentTaxYearMinus1YearAmt
Current Tax Year$18,457CurrentTaxYearAmt
Total$65,493TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$65,493PublicSupportTotal170Amt

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$65,493TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1001Advertising and Promotion $5725
Other Expenses.1002Office Expenses $4348
Other Expenses.1005Travel $1615
Other Expenses.1Professional Services $11177
Other Expenses.4Program Supplies $997
Other Expenses.5CC Fee's $466
Other Expenses.6Board Meeting Expenses $70

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