THE SURAYYA ANNE FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE SURAYYA ANNE FOUNDATION (EIN 42-1745833)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-14
IRS object ID
201341349349307989
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T20:56:31-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN261116949EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1AQ Financial ServicesBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15921 E Admiral PlaceAddressLine1
CityTulsaCity
StateOKState
ZIP Code74115ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN421745833EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SURAYYA ANNE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSURANameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 33202AddressLine1
CityTULSACity
StateOKState
ZIP Code74153ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBAHARAK RANJBARName
TitleTREASURERTitle
Phone9182861907Phone
Date Signed2013-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn LandersName
PTINP00326681PTIN
Phone9188354829Phone
Date Prepared2013-05-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHEERA SHEIKHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14429 W VANDALIA STAddressLine1
CityBROKEN ARROWCity
StateOKState
ZIP Code74012ZIPCode
FieldValueIRS element (for citing)
Gross Receipts121152GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.THESAF.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2007YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionSHELTER AND SUPPORT FOR ABUSED WOMEN AND CHILDRENActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers45TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year80789ContributionsGrantsPriorYear
Contributions Grants Current Year121152ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year80789TotalRevenuePriorYear
Total Revenue Current Year121152TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year21456GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY20912GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5479SalariesEtcPriorYear
Salaries Etc Current Year6030SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year333TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2747TotalFundrsngExpCurrentYear
Other Expense Prior Year37686OtherExpensePriorYear
Other Expenses Current Year42442OtherExpensesCurrentYear
Total Expenses Prior Year64954TotalExpensesPriorYear
Total Expenses Current Year69384TotalExpensesCurrentYear
Revenues Less Expenses Prior Year15835RevenuesLessExpensesPriorYear
Revenues Less Expenses CY51768RevenuesLessExpensesCY
Total Assets BOY69470TotalAssetsBOY
Total Assets EOY125020TotalAssetsEOY
Total Liabilities BOY86TotalLiabilitiesBOY
Total Liabilities EOY3868TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY69384NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY121152NetAssetsOrFundBalancesEOY
Mission DescriptionSHELTER AND SUPPORT FOR ABUSED WOMEN AND CHILDRENMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense56947Expense
Grants20733Grants
DescriptionPROVIDED A SAFE ENVIRONMENT FOR WOMEN AND CHILDREN IN ABUSIVE HOMELESS AND VIOLENT SITUATIONSDescription
Total Program Service Expense56947TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBAHARAK RANJBARNamePerson
Telephone Number9182861907TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1911 W ELMIRA STAddressLine1
CityBROKEN ARROWCity
StateOKState
ZIP Code74012ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BAHARAK RANJBAR
TREASURER20.00X000
CYNTHIA SIDDIQUI
SECRETARY10.00X000
HEERA SHEIKH
PRESIDENT15.00X000
INDRI BAHAR
VICE PRESIDENT10.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events5861FundraisingEvents
All Other Contributions115291AllOtherContributions
Total Contributions121152TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNONEDescription
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events5861CntrbtnsRprtdFundraisingEvents

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column121152TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total20912Total
Program Services20912ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6030Total
Management And General6030ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total38352Total
Program Services36035ProgramServices
Fundraising2317Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1452Total
Management And General1452ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2006Total
Management And General2006ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
BUSINESS REGISTRATION166166
BANK FEES3636

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total430Total
Fundraising430Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total69384Total
Program Services56947ProgramServices
Management And General9690ManagementAndGeneral
Fundraising2747Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY69384BOY
EOY107738EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY17379EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY86BOY
EOY-597EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY69470BOY
EOY125020EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY86BOY
EOY88EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY3780EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY86BOY
EOY3868EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY69384BOY
EOY121152EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY69384BOY
EOY121152EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY69470BOY
EOY125020EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses51768ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30578CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48923CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57030CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80789CurrentTaxYearMinus1Year
Current Tax Year118042CurrentTaxYear
Total335362Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years5936CurrentTaxYearMinus2Years
Total5936Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year5861CurrentTaxYear
Total5861Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30578CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48923CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62966CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80789CurrentTaxYearMinus1Year
Current Tax Year123903CurrentTaxYear
Total347159Total
FieldValueIRS element (for citing)
Public Support Total509347159PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30578CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48923CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62966CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80789CurrentTaxYearMinus1Year
Current Tax Year123903CurrentTaxYear
Total347159Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule G IRS990ScheduleG

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantLIVING ASSISTANCETypeOfGrant
Number Of Recipients23NumberOfRecipients
Amount Of Cash Grant20733AmountOfCashGrant
Amount Of Non Cash Assistance69686AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
Description Of Non Cash AssistanceRENT UTILITIES FUELDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierI2Identifier
Return ReferenceEstimate calculation Part III column bReturnReference
ExplanationSOME ASSISTANCE SUCH AS FOOD WAS DISTRIBUTED TO INDIVIDUALS WITHOUT COLLECTING NAMES OR OTHER INFORMATION FOR PRIVACY REASONSExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
O01Form 990 governing body review Part VI line 11COPY OF FORM 990 WAS SENT TO THE TREASURER FOR REVIEW
O02Governing documents etc available to public Part VI line 19GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC BUT MAY BE MAY TO SPECIFIC INDIVIDUALS OR ORGANIZATIONS FOR DONATION PURPOSES
O03List of other fees for services expenses Part IX line 11gTHE FOLLOWING ASSISTANCE IS PROVIDED FOR, BUT NOT GIVEN DIRECTLY TO, INDIVIDUALS IN THE UNITED STATES: RENT $24,961 SHELTER EXPENSES-UTILITIES, FOOD, LAUNDRY, ETC.- $11,074 TOTAL PROGRAM SERVICE EXPENSES- $36,035

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