BROKEN SPARROW INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BROKEN SPARROW INC (EIN 20-2905135)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-06-10
IRS object ID: 201331619349300828
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-06-10T14:57:57-08:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	920099489	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Milton D Johnson CPA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	12515 Old Seward Hwy	AddressLine1
City	Anchorage	City
State	AK	State
ZIP Code	99515	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	202905135	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Broken Sparrow Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BROK	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3231 Dora Avenue	AddressLine1
City	Anchorage	City
State	AK	State
ZIP Code	99516	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Monte Williams	Name
Title	President	Title
Date Signed	2013-05-15	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Susan Gress	Name
PTIN	P01311551	PTIN
Date Prepared	2013-06-10	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	107171	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2004	YearFormation
State Legal Domicile	AK	StateLegalDomicile
Activity Or Mission Description	To provide short-term care to medically fragile and/or disabled infants and children when they no longer need acute hospital care.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	4	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	97739	ContributionsGrantsPriorYear
Contributions Grants Current Year	107169	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	4	InvestmentIncomePriorYear
Investment Income Current Year	2	InvestmentIncomeCurrentYear
Other Revenue Prior Year	271	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	98014	TotalRevenuePriorYear
Total Revenue Current Year	107171	TotalRevenueCurrentYear
Grants And Similar Amnts CY	138	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	102284	OtherExpensePriorYear
Other Expenses Current Year	108516	OtherExpensesCurrentYear
Total Expenses Prior Year	102284	TotalExpensesPriorYear
Total Expenses Current Year	108654	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-4270	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1483	RevenuesLessExpensesCY
Total Assets BOY	7844	TotalAssetsBOY
Total Assets EOY	6270	TotalAssetsEOY
Total Liabilities BOY	5776	TotalLiabilitiesBOY
Total Liabilities EOY	5685	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2068	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	585	NetAssetsOrFundBalancesEOY
Mission Description	To provide short-term care to medically fragile and/or disabled infants and children when they no longer need acute hospital care.	MissionDescription
Expense	104641	Expense
Description	To provide short-term care to medically fragile and/or disabled infants and children when they no longer need acute hospital care.	Description
Total Program Service Expense	104641	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	4	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Monte Williams	NamePerson
Telephone Number	9072272606	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3231 Dora Avenue	AddressLine1
City	Anchorage	City
State	AK	State
ZIP Code	99516	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
George Lowery
Treasurer	20.00	X	0	0	0
Lenore Lowery
Vice President	20.00	X	0	0	0
Mindy Seay
Secretary	15.00	X	0	0	0
Monte Williams
President	25.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	99135	GovernmentGrants
All Other Contributions	8034	AllOtherContributions
Total Contributions	107169	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2	TotalRevenueColumn
Related Or Exempt Function Income	2	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Other	Description
Business Code	900001	BusinessCode

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	107171	TotalRevenueColumn
Related Or Exempt Function Income	2	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	138	Total
Program Services	138	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	2250	Total
Management And General	2250	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	138	Total
Management And General	138	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	91549	Total
Program Services	91549	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	855	Total
Program Services	855	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1216	Total
Program Services	1216	ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Telephone	852	852
Supplies	7713	7713
Repairs and Maintenance	1979	1979

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1964	Total
Program Services	339	ProgramServices
Management And General	1625	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	108654	Total
Program Services	104641	ProgramServices
Management And General	4013	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4284	BOY
EOY	3490	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4187	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1407	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3560	BOY
EOY	2780	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	7844	BOY
EOY	6270	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	776	BOY
EOY	685	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	5000	BOY
EOY	5000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	5776	BOY
EOY	5685	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2068	BOY
EOY	585	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2068	BOY
EOY	585	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7844	BOY
EOY	6270	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-1483	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	88641	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	112912	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	102832	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	89727	CurrentTaxYearMinus1Year
Current Tax Year	99135	CurrentTaxYear
Total	493247	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	88641	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	112912	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	102832	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	89727	CurrentTaxYearMinus1Year
Current Tax Year	99135	CurrentTaxYear
Total	493247	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	158260	AmountsSubstContributorsTotal
Public Support Total170	334987	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	38	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	17	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	39	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4	CurrentTaxYearMinus1Year
Current Tax Year	2	CurrentTaxYear
Total	100	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7800	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8022	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8038	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8283	CurrentTaxYearMinus1Year
Current Tax Year	8034	CurrentTaxYear
Total	40177	Total

Field	Value	IRS element (for citing)
Total Support	533524	TotalSupport
Public Support Pertcentage170	0.62790	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.79900	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4187	OtherCostOrOtherBasis
Depreciation	1407	Depreciation
Book Value	2780	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2780	TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
O01	Form 990 governing body review Part VI line 11	After the preparer completes the return, a draft is given to the organization. After it is reviewed by the organization, a final copy is obtained and mailed by the organization.
O02	Governing documents etc available to public Part VI line 19	The Organization9s policies, governing documents and financial statements are available to the public upon request.