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Cash -- non-interest-bearing
Department of the Treasury Internal Revenue Service
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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Do not enter social security numbers on this form as it may be made public. Go to www.irs.gov/Form990 for instructions and the latest information. A For the 2021 calendar year, or tax year beginning , 2021, and ending
Open to Public Inspection
20
Check if applicable:
Address change
Name change
Initial return C Name of organization Doing business as FROSTED FACES FOUNDATION INC Employer identification number 47-1274069
Number and street (or P.O. box if mail is not delivered to street address) Room/suite E Telephone number
1448 PINE STREET 715-574-6320
Final return/
terminated
City or town, state or province, country, and ZIP or foreign postal code kAMONA CA 92065
Amended return F Name and address of principal officer:
Application pending SEE ATTACHMENT #1
Tax-exempt status: 14 501(c)(3) I 1 501(c)( ) 4 (insert no.) I I 4947(a)(1) or I I 527 Gross receipts $
H(a) Is this a group return for subordinates? H(b) Are all subordinates included? If "No," attach a list. See instructions. 1,806,022 Yes Id No
Yes No
J Website: WWW FRO S TE DFACE S FOUNDAT I ON . ORG Form of organization: 1X1 Corporation Trust I Association Other NIP
H(c) Group exemption number L Year of formation: 2014 M State of legal domicile: CA
alum uiiiiitcti y
1 Briefly describe the organization's mission or most significant activities: ,
iv it ies & Gov ernance 'Ac t
TO RESCUE ABANDONED SENIOR DOGS FROM SHELTERS AND EUTHENIZATION AND PROVIDE THEM WITH NECESSARY MEDICAL TREATMENT AND FOSTER OR ADOPTIVE HOMES FOR THE REMAINDER OF THEIR LIVES 2 Check this box u if the organization discontinued its operations or disposed of more than 25% of its net assets. 3 Number of voting members of the governing body (Part VI, line 1a) aci ". 3 4 Number of independent voting members of the governing body (Part VI, 'nme 1 ) 4 5 Total number of individuals employed in calendar year 2021 (Part V, line a) a 5 6 6 Total number of volunteers (estimate if necessary) a di 6 3,000 7a Total unrelated business revenue from Part VIII, column (C), line 1 o 7a b Net unrelated business taxable income from Form 990-1, 13arrINhe 7b 0
Re venue
8 Contributions and grants (Part VIII, line 1h) lac,.„ 9 Program service revenue (Part VIII, line 2g) 10 Investment income (Part VIII, column (A), lines 3 4, and 7 11 Other revenue (Part VIII, column (A), linesZ6d, 8c, c c , and 11e) 12 Total revenue -- add lines 8 through 1,16aist equa "PartVIII, column (A), line 12) • -
Exp ense s
Ne t Asse ts Fu n d or Ba la nces
13 Grants and similar amounts paid (Patileoclumn (A), lines 1-3) 14 Benefits paid to or for members ( IX, cO1u 0 (A), line 4)
15 Salaries, other compensation, employ e be ts (Part IX, column (A), lines 5-10) 16a Professional fundraisingli7 P :IX colu n (A), line 11e) b Total fundraising expenses.column (D), line 25) 28,332 17 Other expenses (Pa, c6rirnn);*lines 11a-11d, 11f-24e) 18 Total expenses-A nes 3--*7 -nust equal Part IX, column (A), line 25) 19 Revenue less expenses. Subtract line 18 from line 12
t 20Totafassets,(Part Xillit% 16) 21 ,01*Pfr NtM4.40w Totalliabilities (eartA, line 26)
22 041 , ,, ,,' - v• ' Net assets cr,fund balances. Subtract line 21 from line 20
Part II Sig-nature Block
Prior Year Current Year
1,161,555 1,806,022
6,010 6,000
1,173,565 1,806,022
80,948 149,549
. 897,322 1,182,764 978,270 1,332,313 195,295 473,709
Beginning of Current Year End of Year 1,558,092 2,034,865 412,690 398,230 1,145,402 1,636,635
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer KELLY SMI SEK EXEC DIRECTOR
Date
Paid Preparer Use Only
Type or print name and title Print/Type preparer's name Preparer's signature REGINA JOHNSON Firm's name BLOCK ADVISORS Firm's address 5252 BALBOA AVE STE 600 SAN DIEGO CA 92117
Date
Check ll if
self-employed
PTIN
200795367
Firm's EIN 431871840
Phone no.
(858) 279-4747