Totalnumberofindividualsemployedincalendaryear2022(PartV,line2a)
Totalnumberofvolunteers(estimateifnecessary)
TotalunrelatedbusinessrevenuefromPartVIII,column(C),line12
NetunrelatedbusinesstaxableincomefromForm990-T,PartI,line11
Contributionsandgrants(PartVIII,line1h)
Programservicerevenue(PartVIII,line2g)
Investmentincome(PartVIII,column(A),lines3,4,and7d)
-61,419.
Otherrevenue(PartVIII,column(A),lines5,6d,8c,9c,10c,and11e)
Totalrevenue-addlines8through11(mustequalPartVIII,column(A),line Grantsandsimilaramountspaid(PartIX,column(A),lines1-3)
Benefitspaidtoorformembers(PartIX,column(A),line4)
Salaries,othercompensation,employeebenefits(PartIX,column(A),lines
Professionalfundraisingfees(PartIX,column(A),line11e)
Totalfundraisingexpenses(PartIX,column(D),line25)
Otherexpenses(PartIX,column(A),lines11a-11d,11f-24e)
Totalexpenses.Addlines13-17(mustequalPartIX,column(A),line25)
Revenuelessexpenses.Subtractline18fromline12
Totalassets(PartX,line16)
Totalliabilities(PartX,line26)
Netassetsorfundbalances.Subtractline21fromline20
Check DepartmentoftheTreasury InternalRevenueService Checkif applicable: Address change Name change Initial return Final return/ atedGrossreceipts$ Amended return tion pending 23200112-13-22 OMBNo.1545-0047 BeginningofCurrentYear Paid Preparer UseOnly Undersection501(c),527,or4947(a)(1) Donotentersocialsecuritynumbersonthis OpentoPublic GoInspection towww.irs.gov/Form990forinstructionsand A Forthe2022calendaryear,ortaxyearbeginning andending BCDEmployeridentification E G H(a) H(b) H(c) FYes Yes I J K Website: LM 1 2 3 4 5 6 7 3 4 5 6 a b Activities & Governance PriorYearCurrentYear 8 9 Revenue a b Expenses EndofYear Sign Here Yes ForPaperworkReductionActNotice,seetheseparateinstructions. (orP.O.boxifmailisnotdeliveredtostreetaddress) Room/suite 501(c)(3)) 501(c)((insertno.)4947(a)(1)or 527 CorporationTrustAssociationOther Formoforganization:Yearofformation:Stateoflegaldomicile: Net Assets or Fund Balances Underpenalties true,correct,andcomplete.Declarationofpreparer Signatureofofficer Date Typeorprintnameandtitle Print/TypeDatePTIN preparer'snamePreparer'ssignature Firm'snameFirm'sEIN Firm'saddress Phoneno. Form Nameoforganization Doingbusinessas NumberandstreetTelephonenumber Cityortown,stateorprovince,country,andZIPorforeignpostalcode Isthisagroupreturn Nameforsubordinates? andaddressofprincipalofficer: If"No,"attachalist. Groupexemptionnumber Tax-exemptstatus: Brieflydescribetheorganization'smissionormostsignificantactivities: Checkthisboxiftheorganizationdiscontinuedits Numberofvotingmembersofthegoverningbody(PartVI,line1a) Numberofindependentvotingmembersofthegoverningbody(PartVI,line
MaytheIRSdiscussthisreturnwiththepreparershownabove?Seeinstructions LHAForm(2022) PartI Summary PartSignatureBlock II 990 ReturnofOrganization 990 2022 **PUBLICDISCLOSURE MAKE-A-WISHFOUNDATIONOFSOUTHERN NEVADA,INC. X SCOTTROSENZWEIG X1996 TOGETHER,WECREATE P02087031 MELISSAHANGSLEBEN CLIFTONLARSONALLENLLP (602)266-2248 X SAMEASCABOVE LIFE-CHANGINGWISHESFORCHILDRENWITHCRITICALILLNESSES. X
MELISSAHANGSLEBEN 05/21/24 DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
5/21/2024
Code: Expenses$includinggrantsof$Revenue$ Code: Expenses$includinggrantsof$Revenue$ Code: Expenses$includinggrantsof$Revenue$ 23200212-13-22 1 2 3 4 Yes Yes Form990(2022)Page CheckifScheduleOcontainsaresponseornotetoanylineinthisPartIII Brieflydescribetheorganization'smission: Didtheorganizationundertakeanysignificantprogram priorForm990or990-EZ?
Didtheorganizationceaseconducting,ormake
Describetheorganization's Section501(c)(3)and revenue,ifany,foreachprogramservicereported. ()() ()() ()() Otherprogramservices(DescribeonScheduleO.) ()() Totalprogramserviceexpenses Form(2022) 2 PartStatementofProgramServiceAccomplishments III 990 THEMAKE-A-WISHFOUNDATIONOFSOUTHERNNEVADACREATES X X NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN X 3 DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
If"Yes,"describethesenewservicesonScheduleO.
If"Yes,"describethesechangesonScheduleO.
Form990(2022)Page
Istheorganizationdescribedinsection501(c)(3)or4947(a)(1)
If"Yes,"completeScheduleA
Istheorganizationrequiredtocomplete?Seeinstructions
Didtheorganizationengageindirect publicoffice?
If"Yes,"completeScheduleC,PartI
Section501(c)(3)organizations.
duringthetaxyear?
If"Yes,"completeScheduleC,PartII
Didtheorganizationengagein
Istheorganizationasection501(c)(4), similaramountsasdefinedinRev.Proc.98-19?
If"Yes,"completeScheduleC,PartIII
Didtheorganizationmaintainanydonor
If"Yes,"completeScheduleD,
provideadviceonthedistributionorinvestmentofamountsinsuchfunds
Didtheorganizationreceiveorholdaconservation theenvironment,historiclandareas,orhistoricstructures?
If"Yes,"completeScheduleD,PartII
If"Yes,"complete
Didtheorganizationmaintaincollectionsofworksofart,
Didtheorganizationreportanamount amountsnotlistedinPartX;orprovide
If"Yes,"completeScheduleD,PartIV
Didtheorganization,directlyorthrougharelatedorganization, orinquasiendowments?
If"Yes,"completeScheduleD,PartV
Iftheorganization'sanswertoany asapplicable.
If"Yes,"completeScheduleD,
Didtheorganizationreportanamountforland,buildings,andequipment
Didtheorganizationreportanamount
assetsreportedinPartX,line16?
assetsreportedinPartX,line16?
If"Yes,"completeScheduleD,PartVII
If"Yes,"completeScheduleD,PartVIII
Didtheorganizationreportanamount
Didtheorganizationreportanamount PartX,line16?
If"Yes,"completeScheduleD,PartIX
DidtheorganizationreportanamountforotherliabilitiesinPartX,line25?
If"Yes,"completeScheduleD,PartX
Didtheorganization'sseparateorconsolidated theorganization'sliabilityforuncertaintaxpositionsunderFIN48(ASC740)?
If"Yes,"completeScheduleD,PartX
If"Yes,"complete
Didtheorganizationobtainseparate,independentauditedfinancial
Wastheorganizationincludedinconsolidated,independent
If"Yes,"andiftheorganizationanswered"No"
If"Yes,"completeScheduleE
Istheorganizationaschooldescribedinsection170(b)(1)(A)(ii)?
Didtheorganizationmaintainanoffice,employees,oragentsoutside
Didtheorganizationhaveaggregate investment,andprogramserviceactivities ormore?
If"Yes,"completeScheduleF,PartsIandIV
DidtheorganizationreportonPartIX,column foreignorganization?
If"Yes,"completeScheduleF,PartsIIandIV
DidtheorganizationreportonPartIX,column orforforeignindividuals?
If"Yes,"completeScheduleF,PartsIIIandIV
Didtheorganizationreportatotalofmore column(A),lines6and11e?Seeinstructions
If"Yes,"completeScheduleG,PartI.
Didtheorganizationreportmorethan 1cand8a?
If"Yes,"completeScheduleG,PartII
If"Yes,"
Didtheorganizationreportmorethan$15,000ofgross
If"Yes,"completeScheduleH
Didtheorganizationoperateoneormorehospitalfacilities? If"Yes"toline20a,didtheorganizationattachacopy
Didtheorganizationreportmorethan$5,000ofgrants domesticgovernmentonPartIX,column(A),line1?
If"Yes,"completeScheduleI,PartsIandII
23200312-13-22 Yes 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9
a b c d e f a b 11a 11b 11c 11d 11e 11f 12a 12b 14a 14b 20a 20b a b a b
Form (2022) 3 PartIVChecklistofRequiredSchedules 990 X X X X X X X X X X X X X X X X X X X X X MAKE-A-WISHFOUNDATIONOFSOUTHERN X X X X X X X NEVADA,INC. 4 DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
Form990(2022)Page
Didtheorganizationreportmorethan$5,000ofgrants
If"Yes,"completeScheduleI,PartsIandIII
PartIX,column(A),line2?
Note:
Didtheorganizationanswer"Yes"to andformerofficers,directors,trustees,keyemployees,andhighest
If"Yes,"complete
Didtheorganizationhaveatax-exempt lastdayoftheyear,thatwasissuedafterDecember31,2002?
If"Yes,"answerlines24bthrough24dand ScheduleK.If"No,"gotoline25a
Didtheorganizationinvestanyproceedsoftax-exemptbonds
Didtheorganizationmaintainanescrow anytax-exemptbonds?
Didtheorganizationactasan"onbehalfof"issuerforbonds
Section501(c)(3),501(c)(4),and501(c)(29)organizations.
Didtheorganizationengageinanexcessbenefit transactionwithadisqualifiedpersonduringtheyear?
If"Yes,"completeScheduleL,PartI
Istheorganizationawarethatitengaged thatthetransactionhasnotbeenreportedonanyoftheorganization's
If"Yes,"complete
DidtheorganizationreportanyamountonPart orformerofficer,director,trustee,keyemployee,creatoror controlledentityorfamilymemberofanyofthesepersons?
If"Yes,"completeScheduleL,PartII
Didtheorganizationprovideagrantor creatororfounder,substantialcontributor
If"Yes,"completeScheduleL,PartIII
entity(includinganemployeethereof)orfamilymemberofanyofthesepersons?
Wastheorganizationapartytoabusiness instructionsforapplicablefilingthresholds,conditions,andexceptions): Acurrentorformerofficer,director,trustee,keyemployee,
"Yes,"completeScheduleL,PartIV
Afamilymemberofanyindividualdescribedinline28a?
"Yes,"completeScheduleL,PartIV
If"Yes,"completeScheduleL,PartIV
A35%controlledentityofoneormoreindividualsand/or
Didtheorganizationreceivemorethan$25,000innon-cashcontributions?
If"Yes,"completeScheduleM
Didtheorganizationreceivecontributions contributions?
If"Yes,"completeScheduleM
Didtheorganizationliquidate,terminate,ordissolveandceaseoperations?
If"Yes,"completeScheduleN,PartI If"Yes,"complete
Didtheorganizationsell,exchange,disposeof,ortransfermore
Didtheorganizationown100%ofanentitydisregarded
If"Yes,"completeScheduleR,PartI
sections301.7701-2and301.7701-3?
Wastheorganizationrelatedtoanytax-exemptortaxableentity?
If"Yes,"completeScheduleR,PartII,III,
Didtheorganizationhaveacontrolledentitywithinthemeaningofsection If"Yes"toline35a,didtheorganization withinthemeaningofsection512(b)(13)?
If"Yes,"completeScheduleR,PartV,line2
Didtheorganizationmakeanytransfers
Section501(c)(3)organizations.
If"Yes,"completeScheduleR,PartV,line2
Didtheorganizationconductmorethan5%ofits
If"Yes,"completeScheduleR,PartVI
Yes 24a 24b 24c 24d 25a 25b 28a 28b 28c 35a 35b a b c d a b
23200412-13-22
a b c a b
Yes 1a b c
(continued)
AllForm990filersarerequiredtocompleteScheduleO CheckifScheduleOcontainsaresponseornotetoanylineinthisPartV
EnterthenumberofFormsW-2Gincludedonline1a.Enter-0-ifnotapplicable Didtheorganizationcomplywithbackup (gambling)winningstoprizewinners? Form (2022) 4 PartIVChecklistofRequiredSchedules PartVStatementsRegardingOtherIRSFilingsandTaxCompliance 990 X X X X X X X X X X X X NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN 0 X X X X X X X X X 5 DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
andthatistreatedasapartnershipforfederalincometaxpurposes? DidtheorganizationcompleteScheduleOand
Enterthenumberreportedinbox3ofForm1096.Enter-0-ifnotapplicable
If"Yes,"hasitfiledaForm990-Tforthisyear?
Seeinstructionsforfilingrequirementsfor
Wastheorganizationapartytoaprohibitedtaxsheltertransaction Didanytaxablepartynotifytheorganizationthatit
If"Yes"toline5aor5b,didtheorganizationfileForm8886-T?
Doestheorganizationhaveannualgross
anycontributionsthatwerenottaxdeductibleascharitablecontributions?
If"Yes,"didtheorganizationincludewithevery werenottaxdeductible?
If"Yes,"didtheorganizationnotifythedonorofthevalueofthegoods
Didtheorganizationsell,exchange,orotherwise tofileForm8282?
If"Yes,"indicatethenumberofForms8282filedduringtheyear
Didtheorganizationreceiveanyfunds,directlyor
Didtheorganization,duringtheyear,paypremiums, Iftheorganizationreceivedacontribution Iftheorganizationreceivedacontribution
Didadonoradvisedfundmaintainedbythe
sponsoringorganizationhaveexcessbusinessholdingsatanytimeduring
Didthesponsoringorganizationmakeanytaxabledistributionsundersection Didthesponsoringorganizationmakeadistributiontoadonor,
Enter:
Section501(c)(7)organizations.
Section501(c)(12)organizations.
InitiationfeesandcapitalcontributionsincludedonPartVIII,line12 Grossreceipts,includedonForm990,PartVIII,line12,forpublicuseof Enter: Grossincomefrommembersorshareholders
Grossincomefromothersources.(Donotnetamountsdueorpaid amountsdueorreceivedfromthem.)
IstheorganizationfilingForm990inlieuofForm If"Yes,"entertheamountoftax-exemptinterestreceivedoraccruedduring
Istheorganizationlicensedtoissuequalifiedhealthplansinmorethanone
Seetheinstructionsforadditionalinformationtheorganization
Entertheamountofreservestheorganizationisrequiredtomaintain organizationislicensedtoissuequalifiedhealthplans Entertheamountofreservesonhand
Didtheorganizationreceiveanypaymentsforindoortanningservices If"Yes,"hasitfiledaForm720toreportthesepayments?
Istheorganizationsubjecttothesection4960tax excessparachutepayment(s)duringtheyear? If"Yes,"seetheinstructionsandfileForm4720,ScheduleN.
Istheorganizationaneducationalinstitutionsubject If"Yes,"completeForm4720,ScheduleO.
Didthetrust,oranydisqualifiedorotherpersonengage thatwouldresultintheimpositionofanexcisetaxundersection4951, If"Yes,"completeForm6069.
23200512-13-22 Yes 2 3 4 5 6 7 a b 8 a b a b a b c a b Organizationsthatmayreceivedeductiblecontributionsundersection a b c d e f g h 8 9 Sponsoringorganizationsmaintainingdonoradvisedfunds.
a b
Sponsoringorganizationsmaintainingdonoradvisedfunds.
a b 10a 10b
a b 11a 11b a b Section4947(a)(1)non-exemptcharitabletrusts.12a 12b Section501(c)(29)qualifiednonprofithealthinsuranceissuers. Note: a b c a b 13a 13b 13c 14a 14b
(continued) If"No"toline3b,provideanexplanationonScheduleO If"No,"provideanexplanationonScheduleO Didtheorganizationreceiveapayment Form (2022) Form990(2022)Page EnterthenumberofemployeesreportedonFormW-3,Transmittal filedforthecalendaryearendingwithorwithintheyearcoveredbythisreturn Ifatleastoneisreportedonline2a,didtheorganization Didtheorganizationhaveunrelatedbusinessgrossincomeof$1,000
Section501(c)(21)organizations.
Atanytimeduringthecalendaryear,did
financialaccountinaforeigncountry(suchasa If"Yes,"enterthenameoftheforeigncountry
5 PartVStatementsRegardingOtherIRSFilingsandTaxCompliance 990 X X X X X X X X X X X
0 NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN
6 DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
X X
X
Didtheorganizationhavemembersorstockholders?
Didtheorganizationhavemembers,stockholders, moremembersofthegoverningbody?
personsotherthanthegoverningbody?
Thegoverningbody?
Areanygovernancedecisionsoftheorganization
Eachcommitteewithauthoritytoactonbehalfofthegoverningbody?
Isthereanyofficer,director,trustee,orkeyemployee organization'smailingaddress?
Didtheorganizationhavelocalchapters,branches,oraffiliates?
If"Yes,"didtheorganizationhavewritten andbranchestoensuretheiroperationsareconsistentwith
Hastheorganizationprovidedacomplete
DescribeonScheduleOtheprocess,ifany,usedbytheorganization
Didtheorganizationhaveawrittenconflictofinterestpolicy?
Didtheorganizationregularlyandconsistentlymonitorandenforce
Didtheorganizationhaveawrittenwhistleblowerpolicy?
Didtheorganizationhaveawrittendocumentretentionanddestructionpolicy?
Didtheprocessfordeterminingcompensation
persons,comparabilitydata,andcontemporaneoussubstantiation Theorganization'sCEO,ExecutiveDirector,ortopmanagementofficial
Otherofficersorkeyemployeesoftheorganization
If"Yes"toline15aor15b,describetheprocessonScheduleO.Seeinstructions.
Didtheorganizationinvestin,contributeassets
taxableentityduringtheyear?
If"Yes,"didtheorganizationfollowawritten injointventurearrangementsunderapplicablefederal exemptstatuswithrespecttosucharrangements?
ListthestateswithwhichacopyofthisForm990isrequiredtobefiled Section6104requires forpublicinspection.Indicatehowyoumadetheseavailable.Checkallthat OwnwebsiteAnother'swebsiteUponrequestOther
23200612-13-22 Yes 1 2 3 4 5 6 7 8 9 a b 2 3 4 5 6 9 a b a b Yes a b 10a 10b 11a 12a 12b 12c 15a 15b 16a 16b a b a b c a b a b Foreach"Yes" If"Yes,"providethenamesandaddressesonScheduleO If"No,"gotoline13 If"Yes,"describe Iftherearematerialdifferencesinvotingrightsamongmembersofthe bodydelegatedbroadauthoritytoanexecutivecommitteeorsimilarcommittee, Didtheorganizationcontemporaneouslydocument Wereofficers,directors,ortrustees,andkeyemployees Form (2022) Form990(2022)Page CheckifScheduleOcontainsaresponseornotetoanylineinthisPartVI Enterthenumberofvotingmembersofthegoverningbodyattheendof Enterthenumberofvotingmembersincludedonline1a,above,whoare Didanyofficer,director,trustee,orkeyemployee officer,director,trustee,orkeyemployee?
ofofficers,directors,trustees,orkeyemployeestoamanagement Didtheorganizationmakeanysignificantchanges Didtheorganizationbecomeawareduringtheyearof
Didtheorganizationdelegatecontrolover
statementsavailabletothepublicduringthetaxyear. Statethename,address,andtelephone 6 PartVIGovernance,Management,andDisclosure. SectionA.GoverningBodyandManagement SectionB.Policies SectionC.Disclosure 990 X X X X X X X X X X X X X X X X X X X X BARBARATAPP-702-212-9474 X NONE NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN X X 7 DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
DescribeonSchedule
¥Listalloftheorganization'sofficers,directors, Enter-0-incolumns(D),(E),and(F)ifnocompensationwaspaid.
¥Listalloftheorganization'skeyemployees,ifany.Seetheinstructionsfor ¥Listtheorganization'sfivehighestcompensatedemployees
¥Listalloftheorganization'sofficers,keyemployees, reportablecompensationfromtheorganizationandanyrelatedorganizations. ¥Listalloftheorganization'sthatreceived,inthe
(2)BARBARATAPP
(3)CSILLAMARCELLOVICTOR
(5)KEITHHANSON
(6)RICHARDJUSTIANA
(16)LORRAINEMARSHALL
Individual trustee or director Institutional trustee Officer Key employeeHighest compensated employeeFormer (donotcheckmorethanone officerandadirector/trustee) 23200712-13-22 current SectionA.Officers,Directors,Trustees,KeyEmployees,andHighest 1a current current former formerdirectorsortrustees (A)(B)(C)(D)(E)(F) Form990(2022)Page CheckifScheduleOcontainsaresponseornotetoanylineinthisPartVII
Completethis
whoreceivedreportablecompensation
$100,000fromtheorganizationandanyrelatedorganizations.
morethan$10,000ofreportablecompensationfromtheorganization
Checkthisboxifneithertheorganization Position NameandtitleAverage hoursper week (listany hoursfor related organizations below line) Reportable compensation from the organization Reportable compensation fromrelated organizations Estimated amountof other compensation fromthe organization andrelated organizations Form(2022) 7 PartVIICompensationofOfficers,Directors, Employees,andIndependentContractors 990 PRESIDENT&CEO
Seetheinstructionsfortheorderinwhichtolistthepersonsabove.
(8)TOMBURNS (9)MELISSAAKKAWAY (12)KRISTINECREEL (15)SASHALARKIN
CHIEFOPERATINGOFFICER CHAIR
TREASURER SECRETARY PASTCHAIR DIRECTOR DIRECTOR DIRECTOR DIRECTOR DIRECTOR DIRECTOR DIRECTOR DIRECTOR X X X X X X X X X X X X X X X X X X X X X X NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN 8 DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
VICECHAIR
Former Individual trustee or director Institutional trustee Officer Highest compensated Keyemployee employee (donotcheckmorethanone officerandadirector/trustee) 23200812-13-22 SectionA.Officers,Directors,Trustees,KeyEmployees, (A)(B)(C)(D)(E)(F) 1b c d Subtotal TotalfromcontinuationsheetstoPartVII,SectionA Total(addlines1band1c) 2 Yes 3 4 5 former 3 4 5 SectionB.IndependentContractors 1 (A)(B)(C) 2 (continued) If"Yes,"completeScheduleJforsuchindividual If"Yes,"completeScheduleJforsuchindividual If"Yes,"completeScheduleJforsuchperson FormPage 990(2022) Position Average hoursper week (listany hoursfor related organizations below line) Nameandtitle Reportable compensation from the organization Reportable compensation fromrelated organizations Estimated amountof other compensation fromthe organization andrelated organizations Totalnumberofindividuals(including compensationfromtheorganization Didtheorganizationlistanyofficer,director,trustee,keyemployee,orhighest line1a? Foranyindividuallistedonline1a,is andrelatedorganizationsgreaterthan$150,000? Didanypersonlistedonline1areceive renderedtotheorganization? Completethistable theorganization.Reportcompensationforthecalendar NameandbusinessaddressDescriptionofservices Compensation Totalnumberofindependentcontractors(including $100,000ofcompensationfromtheorganization Form (2022) 8 PartVII 990 DIRECTORX (19)DANSMITHMAN DIRECTORX (20)STEVESHAUER DIRECTORX DIRECTORX (22)DAVIDNAVARRO DIRECTORX 3 0 NONE X NEVADA,INC. X X MAKE-A-WISHFOUNDATIONOFSOUTHERN 9 DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
Noncashcontributionsincludedinlines1a-1f 23200912-13-22 BusinessCode Totalrevenue. (A)(B)(C)(D) 1a b c d e f 1 1 1 1 1 1 1 a b c d e f gg Contributions, Gifts, Grants and Other Similar Amounts h Total. a b c d e f g Program2 Service Revenue Total. 3 4 5 6a b c d 7a b c d a b c 8 9a b c a b c 10a 10b Other Revenue a b c d e MiscellaneousRevenue Total. Revenueexcluded fromtaxunder sections512Allothercontributions,gifts,grants,and similaramountsnotincludedabove Grossamountfromsalesof assetsotherthaninventory costorotherbasis andsalesexpenses Grossincomefromfundraisingevents Seeinstructions Form (2022) FormPage 990(2022) CheckifScheduleOcontainsaresponseornotetoanylineinthisPart TotalrevenueRelatedorexempt functionrevenue Unrelated businessrevenue Federatedcampaigns Membershipdues Fundraisingevents Relatedorganizations Governmentgrants(contributions) $ Addlines1a-1f Allotherprogramservicerevenue Addlines2a-2f Investmentincome(includingdividends,interest,and othersimilaramounts) Incomefrominvestmentoftax-exemptbondproceeds Royalties (i)Real(ii)Personal Grossrents Less:rentalexpenses Rentalincomeor(loss) Netrentalincomeor(loss) (i)Securities(ii)Other Less: Gainor(loss) Netgainor(loss) (not including$ contributionsreportedonline1c).See PartIV,line18 Less:directexpenses Netincomeor(loss)fromfundraisingevents Grossincomefromgamingactivities.See PartIV,line19 Less:directexpenses Netincomeor(loss)fromgamingactivities Grosssalesofinventory,lessreturns andallowances Less:costofgoodssold Netincomeor(loss)fromsalesofinventory Allotherrevenue Addlines11a-11d 9 PartVIIIStatementofRevenue 990 NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN 900099 -24,219.-24,219. DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
Grantsandotherassistancetodomesticorganizations anddomesticgovernments.SeePartIV,line21
Grantsandotherassistancetodomestic
Compensationnotincludedabovetodisqualified
persons(asdefinedundersection4958(f)(1))and personsdescribedinsection4958(c)(3)(B)
Pensionplanaccrualsandcontributions(include section401(k)and403(b)employercontributions)
Professionalfundraisingservices.SeePartIV,line17
(Ifline11gamountexceeds10%ofline25, column(A),amount,listline11gexpensesonSchO.)
Otherexpenses.Itemizeexpensesnotcovered above.(Listmiscellaneousexpensesonline24e.If line24eamountexceeds10%ofline25,column(A), amount,listline24eexpensesonScheduleO.)
Addlines1through24e
Completethislineonlyiftheorganization reportedincolumn(B)jointcostsfromacombined educationalcampaignandfundraisingsolicitation.
23201012-13-22 Totalfunctionalexpenses. Jointcosts. (A)(B)(C)(D) 1 2 3 4 5 6 7 8 9 a b c d e f g a b c d e
iffollowingSOP98-2(ASC958-720)
Checkhere Form990(2022)Page CheckifScheduleOcontainsaresponseornotetoanylineinthisPartIX expenses generalexpenses Fundraising expenses
Management Legal Accounting Lobbying
Other.
Royalties Occupancy Travel
individuals.SeePartIV,line22 Grantsandotherassistancetoforeign organizations,foreigngovernments,andforeign individuals.SeePartIV,lines15and16 Benefitspaidtoorformembers Compensationofcurrentofficers,directors, trustees,andkeyemployees Othersalariesandwages Otheremployeebenefits Payrolltaxes Feesforservices(nonemployees):
Investmentmanagementfees
Advertisingandpromotion Officeexpenses Informationtechnology
Interest
Insurance Allotherexpenses Form(2022) PartStatementofFunctionalExpenses IX 990 NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
Paymentsoftravelorentertainmentexpenses foranyfederal,state,orlocalpublicofficials Conferences,conventions,andmeetings
Paymentstoaffiliates Depreciation,depletion,andamortization
23201112-13-22 (A)(B) 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 10c a b 10a 10b Assets Totalassets. Liabilities Totalliabilities. OrganizationsthatfollowFASBASC958,checkhere andcompletelines27,28,32,and33. OrganizationsthatdonotfollowFASBASC958,checkhere andcompletelines29through33. Net Assets or Fund Balances Form990(2022)Page CheckifScheduleOcontainsaresponseornotetoanylineinthisPartX BeginningofyearEndofyear Cash-non-interest-bearing Savingsandtemporarycashinvestments Pledgesandgrantsreceivable,net Accountsreceivable,net Loansandotherreceivablesfromanycurrentorformerofficer,director, trustee,keyemployee,creatororfounder,substantialcontributor,or35% controlledentityorfamilymemberofanyofthesepersons Loansandotherreceivablesfromotherdisqualifiedpersons(asdefined undersection4958(f)(1)),andpersonsdescribedinsection4958(c)(3)(B) Notesandloansreceivable,net Inventoriesforsaleoruse Prepaidexpensesanddeferredcharges Land,buildings,andequipment:costorother basis.CompletePartVIofScheduleD Less:accumulateddepreciation Investments-publiclytradedsecurities Investments-othersecurities.SeePartIV,line11 Investments-program-related.SeePartIV,line11 Intangibleassets Otherassets.SeePartIV,line11 Addlines1through15(mustequalline33) Accountspayableandaccruedexpenses Grantspayable Deferredrevenue Tax-exemptbondliabilities Escroworcustodialaccountliability.CompletePartIVofScheduleD Loansandotherpayablestoanycurrentorformerofficer,director, trustee,keyemployee,creatororfounder,substantialcontributor,or35% controlledentityorfamilymemberofanyofthesepersons Securedmortgagesandnotespayabletounrelatedthirdparties Unsecurednotesandloanspayabletounrelatedthirdparties Otherliabilities(includingfederalincometax,payablestorelatedthird parties,andotherliabilitiesnotincludedonlines17-24).CompletePartX ofScheduleD Addlines17through25 Netassetswithoutdonorrestrictions Netassetswithdonorrestrictions Capitalstockortrustprincipal,orcurrentfunds Paid-inorcapitalsurplus,orland,building,orequipmentfund Retainedearnings,endowment,accumulatedincome,orotherfunds Totalnetassetsorfundbalances Totalliabilitiesandnetassets/fundbalances Form(2022) PartBalanceSheet X 990 X NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
Weretheorganization'sfinancialstatementsauditedbyanindependentaccountant? If"Yes,"checkaboxbelowtoindicate
consolidatedbasis,orboth:
SeparatebasisConsolidatedbasisBothconsolidatedandseparatebasis If"Yes"toline2aor2b,doestheorganization
review,orcompilationofitsfinancialstatementsandselectionof Iftheorganizationchangedeitherits
Asaresultofafederalaward,wastheorganization
UniformGuidance,2C.F.R.Part200,SubpartF? If"Yes,"didtheorganizationundergo
oraudits,explainwhyonScheduleOanddescribeanystepstaken
23201212-13-22 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 Yes 1 2 3 a b c a b Form990(2022)Page CheckifScheduleOcontainsaresponseornotetoanylineinthisPartXI Totalrevenue(mustequalPartVIII,column(A),line12) Totalexpenses(mustequalPartIX,column(A),line25) Revenuelessexpenses.Subtractline2fromline1 Netassetsorfundbalancesatbeginningofyear(mustequalPartX,line Netunrealizedgains(losses)oninvestments Donatedservicesanduseoffacilities Investmentexpenses Priorperiodadjustments Otherchangesinnetassetsorfundbalances(explainonScheduleO) Netassetsorfundbalancesatendofyear.Combinelines3 column(B)) CheckifScheduleOcontainsaresponseornotetoanylineinthisPartXII AccountingmethodusedtopreparetheForm990: CashAccrualOther Iftheorganizationchangeditsmethodofaccounting
Weretheorganization'sfinancialstatementscompiledorreviewed If"Yes,"checkaboxbelowtoindicatewhether separatebasis,consolidatedbasis,orboth: SeparatebasisConsolidatedbasisBothconsolidatedandseparatebasis
Form(2022) PartXIReconciliationofNetAssets PartXIIFinancialStatementsandReporting 990 X NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN -157,097. X X X X
DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
X
YoumustcompletePartIV,SectionsAandB. TypeII.
YoumustcompletePartIV,SectionsAandC. TypeIIIfunctionallyintegrated.
inyourgoverningdocument? OMBNo.1545-0047 DepartmentoftheTreasury InternalRevenueService 23202112-09-22 (i)(iii)(v)(vi) (ii) Nameofsupported organization Typeoforganization (describedonlines1-10 above(seeinstructions)) Amountofmonetary support(seeinstructions) Amountofother support(seeinstructions) EIN (Form990) Completeiftheorganizationisasection501(c)(3) 4947(a)(1)nonexemptcharitabletrust. AttachtoForm990orForm990-EZ. Gotowww.irs.gov/Form990forinstructionsand OpentoPublic Inspection NameoftheorganizationEmployeridentification 1 2 3 4 5 6 7 8 9 section170(b)(1)(A)(i). section170(b)(1)(A)(ii). section170(b)(1)(A)(iii). section170(b)(1)(A)(iii).
section170(b)(1)(A)(vi). section170(b)(1)(A)(ix)
a b c d e f g
section170(b)(1)(A)(iv). section170(b)(1)(A)(v). section170(b)(1)(A)(vi).
section509(a)(2). section509(a)(4). section509(a)(1)section509(a)(2)section509(a)(3).
TypeI.
YoumustcompletePartIV,SectionsA,D,and
YoumustcompletePartIV,SectionsAandD,andPart Yes Total ForPaperworkReductionActNotice,seetheInstructionsforForm ScheduleA (Allorganizationsmustcompletethispart.)See Theorganizationisnotaprivatefoundationbecauseitis:(For Achurch,conventionofchurches,orassociationofchurchesdescribedin
Ahospitaloracooperativehospitalserviceorganizationdescribedin Amedicalresearchorganizationoperatedinconjunctionwithahospital Enterthehospital's city,andstate: Anorganizationoperatedforthe (CompletePartII.) Afederal,state,orlocalgovernmentorgovernmentalunitdescribedin Anorganization (CompletePartII.) Acommunitytrustdescribedin(CompletePartII.) Anagriculturalresearchorganizationdescribedinoperatedinconjunctionwith oruniversityoranon-land-grantcollege university: Anorganization activitiesrelated incomeandunrelated See (CompletePartIII.) Anorganizationorganizedandoperatedexclusivelytotestforpublicsafety. Anorganization morepubliclysupportedorganizationsdescribedin or.SeeChecktheboxon lines12athrough12dthatdescribesthe Asupportingorganizationoperated, thesupportedorganization(s) organization. Asupportingorganizationsupervised controlormanagementofthe organization(s). Asupportingorganizationoperated itssupportedorganization(s)(seeinstructions). Asupportingorganizationoperated thatisnotfunctionallyintegrated. requirement(seeinstructions). Checkthisboxiftheorganizationreceived functionallyintegrated,orTypeIIInon-functionallyintegratedsupporting Enterthenumberofsupportedorganizations Providethefollowinginformationaboutthesupportedorganization(s). LHA SCHEDULEA PartIReasonforPublicCharityStatus. PublicCharityStatusandPublic 2022 X MAKE-A-WISHFOUNDATIONOFSOUTHERN NEVADA,INC. DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
TypeIIInon-functionallyintegrated.
Aschooldescribedin(AttachScheduleE(Form990).)
Gifts,grants,contributions,and membershipfeesreceived.(Donot includeany"unusualgrants.")
Taxrevenuesleviedfortheorganization'sbenefitandeitherpaidto orexpendedonitsbehalf
Thevalueofservicesorfacilities furnishedbyagovernmentalunitto theorganizationwithoutcharge Addlines1through3
Theportionoftotalcontributions byeachperson(otherthana governmentalunitorpublicly supportedorganization)included online1thatexceeds2%ofthe amountshownonline11,
Amountsfromline4 Grossincomefrominterest, dividends,paymentsreceivedon securitiesloans,rents,royalties, andincomefromsimilarsources Netincomefromunrelatedbusiness activities,whetherornotthe businessisregularlycarriedon Otherincome.Donotincludegain orlossfromthesaleofcapital assets(ExplaininPartVI.)
Grossreceiptsfromrelatedactivities,etc.(seeinstructions) IftheForm990isfortheorganization'sfirst, organization,checkthisboxand Publicsupportpercentagefor2022(line6,column(f),dividedbyline11,column Publicsupportpercentagefrom2021ScheduleA,PartII,line14
Subtractline5fromline4. 23202212-09-22 Calendaryear(orfiscalyearbeginningin) 2 (f) 1 2 3 4 5 Total. 6 Publicsupport. (f) 7 8 9 Totalsupport. First5years. stophere a b a b 331/3%supporttest-2022. stophere. 331/3%supporttest-2021. stophere. 10%-facts-and-circumstancestest-2022. stophere. 10%-facts-and-circumstancestest-2021. stophere. Privatefoundation. ScheduleA
ScheduleA(Form990)2022Page (Completeonlyif failstoqualifyunderthetestslistedbelow,pleasecompletePartIII.) 20182019202020212022Total
Addlines7through10
column(f) 20182019202020212022Total
% %
andTheorganizationqualifiesasapubliclysupportedorganization Iftheorganizationdid
ExplaininPartVIhowthe
Iftheorganizationdid
ExplaininPartVIhowthe
PartIISupportSchedulefor SectionA.PublicSupport
SectionC.ComputationofPublicSupportPercentage X NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
Iftheorganizationdidnot Theorganizationqualifiesasapubliclysupportedorganization Iftheorganizationdidnot
andiftheorganizationmeetsthefacts-and-circumstancestest,checkthisbox
meetsthefacts-and-circumstancestest.Theorganization
more,andiftheorganizationmeetsthefacts-and-circumstancestest,
organizationmeetsthefacts-and-circumstances Iftheorganizationdidnotcheck
SectionB.TotalSupport
Gifts,grants,contributions,and
membershipfeesreceived.(Donot includeany"unusualgrants.")
Grossreceiptsfromadmissions, merchandisesoldorservicesperformed,orfacilitiesfurnishedin anyactivitythatisrelatedtothe organization'stax-exemptpurpose
Grossreceiptsfromactivitiesthat arenotanunrelatedtradeorbusinessundersection513
Taxrevenuesleviedfortheorganization'sbenefitandeitherpaidto orexpendedonitsbehalf Thevalueofservicesorfacilities furnishedbyagovernmentalunitto theorganizationwithoutcharge
Addlines1through5 Amountsincludedonlines1,2,and 3receivedfromdisqualifiedpersons
Addlines7aand7b
Amountsfromline6
Grossincomefrominterest, dividends,paymentsreceivedon securitiesloans,rents,royalties, andincomefromsimilarsources
Unrelatedbusinesstaxableincome
(lesssection511taxes)frombusinesses acquiredafterJune30,1975
Addlines10aand10b
Netincomefromunrelatedbusiness activitiesnotincludedonline10b, whetherornotthebusinessis regularlycarriedon Otherincome.Donotincludegain orlossfromthesaleofcapital assets(ExplaininPartVI.)
(Subtractline7cfromline6.) exceedthegreaterof$5,000or1%ofthe amountonline13fortheyear (Addlines9,10c,11,and12.)
IftheForm990isfortheorganization's checkthisboxand
23202312-09-22 Calendaryear(orfiscalyearbeginningin) Totalsupport. 3 (f) 1 2 3 4 5 6 7 Total. a b c 8 Publicsupport. (f) 9 a b c First5years. stophere 2022 2021 a b 331/3%supporttests-2022. stophere. 331/3%supporttests-2021. stophere. Privatefoundation. ScheduleA
ScheduleA(Form990)2022Page (Completeonlyifyou qualifyunderthetestslistedbelow,pleasecompletePartII.) 20182019202020212022Total
20182019202020212022Total
Publicsupportpercentagefor2022(line8,column(f),dividedbyline13,column Publicsupportpercentagefrom2021ScheduleA,PartIII,line15 % % Investmentincomepercentagefor(line10c,column(f),dividedbyline13,column(f)) InvestmentincomepercentagefromScheduleA,PartIII,line17 % % Iftheorganizationdid morethan331/3%,checkthisboxandTheorganizationqualifiesasapubliclysupported Iftheorganizationdidnotcheck line18isnotmorethan331/3%,checkthisboxandTheorganizationqualifiesasa Iftheorganizationdidnotcheckabox PartIIISupportScheduleforOrganizationsDescribed SectionA.PublicSupport SectionB.TotalSupport SectionC.ComputationofPublicSupportPercentage SectionD.ComputationofInvestmentIncomePercentage NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
(Completeonlyifyoucheckedaboxonline andB.Ifyoucheckedbox12b,PartI,complete SectionsA,D,andE.Ifyoucheckedbox12d,
Arealloftheorganization'ssupportedorganizationslistedby documents?
If"No,"describein
Didtheorganizationhaveanysupportedorganization undersection509(a)(1)or(2)?
If"Yes,"explainin
Didtheorganizationhaveasupportedorganizationdescribedin
If"Yes,"answer
Didtheorganizationconfirmthateachsupported satisfiedthepublicsupporttestsundersection509(a)(2)?
If"Yes,"describein
Didtheorganizationensurethatallsupporttosuch purposes?
If"Yes,"explainin
Wasanysupportedorganizationnotorganizedinthe
"Yes,"andifyoucheckedbox12aor12binPartI,answerlines4band4cbelow.
Didtheorganizationhaveultimatecontrolanddiscretion supportedorganization?
If"Yes,"describein
undersections501(c)(3)and509(a)(1)or(2)?
If"Yes,"explainin
Didtheorganizationsupportanyforeignsupportedorganization
If"Yes," EIN
(iii)theauthorityundertheorganization'sorganizing
Didtheorganizationadd,substitute,orremoveanysupported Wasanyaddedorsubstitutedsupportedorganizationpart designatedintheorganization'sorganizingdocument?
Wasthesubstitutiontheresultofaneventbeyondtheorganization's
Didtheorganizationprovidesupport(whetherin anyoneotherthan(i)itssupportedorganizations,(ii)individuals benefitedbyoneormoreofitssupportedorganizations, supportorbenefitoneormoreofthefilingorganization'ssupportedorganizations?
If"Yes,"providedetailin
Didtheorganizationprovideagrant,loan,compensation, (asdefinedinsection4958(c)(3)(C)),afamilymember regardtoasubstantialcontributor?
If"Yes,"completePartIofScheduleL(Form990).
Didtheorganizationmakealoantoadisqualified
If"Yes,"completePartIofScheduleL(Form990).
Wastheorganizationcontrolleddirectlyorindirectlyatany disqualifiedpersons,asdefinedinsection4946 insection509(a)(1)or(2))?
If"Yes,"providedetailin
Didoneormoredisqualifiedpersons(asdefinedon thesupportingorganizationhadaninterest?
If"Yes,"providedetailin
Didadisqualifiedperson(asdefinedonline9a)have from,assetsinwhichthesupportingorganizationalsohadaninterest?
If"Yes,"providedetailin
Wastheorganizationsubjecttotheexcessbusinessholdings 4943(f)(regardingcertainTypeIIsupportingorganizations, supportingorganizations)?
If"Yes,"answerline10bbelow.
Didtheorganizationhaveanyexcessbusinessholdingsinthetaxyear?
23202412-09-22 4 Yes 1 2 3 4 5 6 7 8 9 PartVI 1 2 6 7 8 10a 10b PartVI a b c a b c a b c a b c a b PartVI PartVI PartVI PartVI Part TypeIorTypeIIonly.
PartVI. PartVI. PartVI. PartVI. ScheduleA
Substitutionsonly.
ScheduleA(Form990)2022Page
PartIVSupportingOrganizations SectionA.AllSupportingOrganizations NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
(continued) PartIVSupportingOrganizations
Hastheorganizationacceptedagiftorcontributionfromanyofthefollowing Apersonwhodirectlyorindirectlycontrols,either 11cbelow,thegoverningbodyofasupportedorganization?
Afamilymemberofapersondescribedonline11aabove?
If"Yes"toline11a,11b,or11c,provide
A35%controlledentityofapersondescribedonline11aor11babove?
SectionB.TypeISupportingOrganizations
Didthegoverningbody,membersof moresupportedorganizationshave directors,ortrusteesatalltimesduringthetaxyear?
If"No,"describein effectivelyoperated,supervised,orcontrolled
Didtheorganizationoperateforthebenefitofanysupported organization(s)thatoperated,supervised,orcontrolledthesupportingorganization?
SectionC.TypeIISupportingOrganizations
Wereamajorityoftheorganization'sdirectorsortrustees ortrusteesofeachoftheorganization'ssupportedorganization(s)?
SectionD.AllTypeIIISupportingOrganizations
Didtheorganizationprovidetoeachofitssupported organization'staxyear,(i)awrittennoticedescribing year,(ii)acopyoftheForm990thatwasmost organization'sgoverningdocumentsineffecton Wereanyoftheorganization'sofficers,directors, organization(s)or(ii)servingonthegoverningbodyofasupportedorganization?
If"No,"explainin
Byreasonoftherelationshipdescribedonline significantvoiceintheorganization'sinvestmentpolicies
If"Yes,"describeintheroletheorganization's
incomeorassetsatalltimesduringthetaxyear?
SectionE.TypeIIIFunctionallyIntegratedSupportingOrganizations
TheorganizationsatisfiedtheActivitiesTest.
Theorganizationistheparentofeachofitssupportedorganizations. Theorganizationsupportedagovernmentalentity. ActivitiesTest.
Didsubstantiallyalloftheorganization'sactivities thesupportedorganization(s)towhichtheorganizationwasresponsive?
Didtheactivitiesdescribedonline2a,above,constitute oneormoreoftheorganization'ssupportedorganization(s)wouldhave
If"Yes,"explainin thereasonsfortheorganization'spositionthatitssupported theseactivitiesbutfortheorganization'sinvolvement.
ParentofSupportedOrganizations.
trusteesofeachofthesupportedorganizations?
Didtheorganizationhavethepowertoregularlyappoint
If"Yes"or"No"providedetailsin
Didtheorganizationexerciseasubstantialdegree ofitssupportedorganizations?
If"Yes,"describein
23202512-09-22 5 Yes a b c 11a 11b 11c PartVI. Yes 1 2 PartVI 1 2 PartVI Yes 1 PartVI 1 Yes 1 2 3 1 2 3 PartVI PartVI 1 2 3
a b c line2 line3 PartVI Answerlines2aand2bbelow. Yes a b a b PartVIidentify thosesupportedorganizationsandexplain PartVI Answerlines3aand3bbelow. PartVI. PartVI ScheduleA
(seeinstructions).
If"Yes,"explainin If"No,"describein
Complete
If"Yes,"thenin
ScheduleA(Form990)2022Page
NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
Subtractline2fromline1d.
Cashdeemedheldforexemptuse.Enter0.015ofline3(forgreateramount, seeinstructions).
Netvalueofnon-exempt-useassets(subtractline4fromline3)
Multiplyline5by0.035.
Recoveriesofprior-yeardistributions (addline7toline6) CurrentYear
Adjustednetincomeforprioryear(fromSectionA,line8,columnA)
Enter0.85ofline1.
Minimumassetamountforprioryear(fromSectionB,line8,columnA) Entergreaterofline2orline3. Incometaximposedinprioryear
Subtractline5fromline4,unlesssubjectto emergencytemporaryreduction(seeinstructions).
Checkhereifthecurrentyear
23202612-09-22 6 1 PartVISeeinstructions. SectionA-AdjustedNetIncome 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 AdjustedNetIncome SectionB-MinimumAssetAmount 1 2 3 4 5 6 7 8 a b c d e 2 3 4 5 6 7 8 Total Discount PartVI MinimumAssetAmount SectionC-DistributableAmount 1 2 3 4 5 6 7 1 2 3 4 5 6 DistributableAmount. ScheduleA ScheduleA(Form990)2022Page CheckhereiftheorganizationsatisfiedtheIntegral ). AllotherTypeIIInon-functionallyintegrated (B)CurrentYear (A)(optional) PriorYear Netshort-termcapitalgain Recoveriesofprior-yeardistributions Othergrossincome(seeinstructions) Addlines1through3. Depreciationanddepletion Portionofoperatingexpensespaidorincurredforproductionor collectionofgrossincomeorformanagement,conservation,or maintenanceofpropertyheldforproductionofincome(seeinstructions) Otherexpenses(seeinstructions) (subtractlines5,6,and7fromline4) (B)CurrentYear (A)(optional) PriorYear Aggregatefairmarketvalueofallnon-exempt-useassets(see instructionsforshorttaxyearorassetsheldforpartofyear): Averagemonthlyvalueofsecurities Averagemonthlycashbalances Fairmarketvalueofothernon-exempt-useassets (addlines1a,1b,and1c) claimedforblockageorotherfactors ( Acquisitionindebtednessapplicabletonon-exempt-useassets
PartVTypeIIINon-FunctionallyIntegrated509(a)(3) NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
Distributableamountfor2022fromSectionC,line6 Underdistributions,ifany,foryearspriorto2022(reasonablecauserequired-).Seeinstructions.
From2018 From2019 From2020 From2021 oflines3athrough3e
Appliedtounderdistributionsofprioryears Appliedto2022distributableamount
Carryoverfrom2017notapplied(seeinstructions) Remainder.Subtractlines3g,3h,and3ifromline3f. Distributionsfor2022fromSectionD, line7:$
Appliedtounderdistributionsofprioryears Appliedto2022distributableamount
Remainder.Subtractlines4aand4bfromline4.
Remainingunderdistributionsforyearspriorto2022,if any.Subtractlines3gand4afromline2.Forresultgreater thanzero,Seeinstructions.
Remainingunderdistributionsfor2022.Subtractlines3h and4bfromline1.Forresultgreaterthanzero, .Seeinstructions. Addlines3j and4c.
Breakdownofline7: Excessfrom2018 Excessfrom2019 Excessfrom2020 Excessfrom2021 Excessfrom2022
23202712-09-22 7 SectionD-DistributionsCurrentYear 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 PartVI PartVI Totalannualdistributions. PartVI (i) ExcessDistributions (ii) Underdistributions Pre-2022 (iii) Distributable Amountfor2022 SectionE-DistributionAllocations 1 2 3 4 5 6 7 8 PartVI a b c d e f g h i j Total a b c PartVI. PartVI Excessdistributionscarryoverto2023. a b c d e ScheduleA ScheduleA(Form990)2022Page Amountspaidtosupportedorganizationstoaccomplishexemptpurposes Amountspaidtoperformactivitythatdirectlyfurthersexemptpurposes organizations,inexcessofincomefromactivity Administrativeexpensespaidtoaccomplishexemptpurposesofsupported Amountspaidtoacquireexempt-useassets Qualifiedset-asideamounts(priorIRSapprovalrequired) Otherdistributions().Seeinstructions. Addlines1through6. Distributionstoattentivesupportedorganizationstowhichtheorganization ().Seeinstructions.
(seeinstructions)
Distributableamountfor2022fromSectionC,line6 Line8amountdividedbyline9amount
Excessdistributionscarryover,ifany,to2022 From2017
PartVTypeIIINon-FunctionallyIntegrated509(a)(3) NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
2020AMOUNT:$11,978.
GROSSGAMINGREVENUE
2019AMOUNT:$59,900.
2020AMOUNT:$0.
2022AMOUNT:$55,950.
2019AMOUNT:$0.
2022AMOUNT:$0.
23202812-09-22 8 ScheduleA ScheduleA(Form990)2022Page Providetheexplanations PartIV,SectionA, line1;PartIV,Section SectionD,lines5,6,and8; (Seeinstructions.) PartVISupplementalInformation.
GROSSFUNDRAISINGREVENUE
NEVADA,INC. SCHEDULEA,PARTII,LINE10,EXPLANATIONFOROTHERINCOME: MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
Anorganizationthatisn'tcovered answer"No"onPartIV,line thatitdoesn'tmeetthefilingrequirementsofScheduleB(Form990).
DepartmentoftheTreasury 22345111-15-22 ForPaperworkReductionActNotice,seetheinstructionsforForm990,990-EZ, ScheduleB OMBNo.1545-0047 (Form990)AttachtoForm990orForm990-PF. Gotowww.irs.gov/Form990forthelatestinformation. Employeridentification Organizationtype Filersof: Section: not GeneralRuleSpecialRule. Note: GeneralRule SpecialRules (1)(2) GeneralRule Caution:must exclusively nonexclusively Nameoftheorganization (checkone): Form990or990-EZ501(c)()(enternumber)organization
527politicalorganization Form990-PF501(c)(3)exemptprivatefoundation
501(c)(3)taxableprivatefoundation Checkifyourorganizationiscoveredbythe ora Onlyasection501(c)(7),(8), Foranorganization property)fromanyonecontributor. Foranorganization
Foranorganization year,contributionsforreligious,charitable,
4947(a)(1)nonexemptcharitabletrusttreatedasaprivatefoundation
4947(a)(1)nonexemptcharitabletrusttreatedasaprivatefoundation
sections509(a)(1)and contributor,duringtheyear,totalcontributionsofthegreaterof $5,000;or2%oftheamounton or(ii)Form990-EZ,line1.CompletePartsIandII. Foranorganizationdescribedinsection contributor,duringtheyear,totalcontributions literary,oreducationalpurposes,orforthe "N/A"incolumn(b)insteadofthecontributornameandaddress),II,andIII.
ischecked,enterherethetotalcontributionsthatwerereceivedduring religious,charitable,etc., purpose.Don'tcompleteanyofthepartsunlesstheappliestothisorganizationbecauseit religious,charitable,etc.,contributionstotaling$5,000ormoreduringtheyear $
LHA ScheduleBScheduleofContributors 2022 NEVADA,INC. X X **PUBLICDISCLOSURECOPY** MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
22345211-15-22 Employeridentification (a) No. (b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash (a) No. (b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash (a)(b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash (a) No. (b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash (a) No. (b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash (a)(b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash ScheduleB(Form990)(2022)Page Nameoforganization (seeinstructions).UseduplicatecopiesofPartIifadditional $ (CompletePartIIfor noncashcontributions.) $ (CompletePartIIfor noncashcontributions.) $ (CompletePartIIfor noncashcontributions.) $ (CompletePartIIfor noncashcontributions.) $ (CompletePartIIfor noncashcontributions.) $ (CompletePartIIfor noncashcontributions.) 2 PartI Contributors 1X X 2X X 3X 4 X 5X 6X MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
22345211-15-22 Employeridentification (a) No. (b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash (a) No. (b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash (a)(b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash (a) No. (b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash (a) No. (b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash (a)(b) Name,address,andZIP+4 (c) Totalcontributions (d) Typeofcontribution Person Payroll Noncash ScheduleB(Form990)(2022)Page Nameoforganization (seeinstructions).UseduplicatecopiesofPartIifadditional $ (CompletePartIIfor noncashcontributions.) $ (CompletePartIIfor noncashcontributions.) $ (CompletePartIIfor noncashcontributions.) $ (CompletePartIIfor noncashcontributions.) $ (CompletePartIIfor noncashcontributions.) $ (CompletePartIIfor noncashcontributions.) 2 PartI Contributors 7X MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
22345311-15-22 Employeridentification (a) No. from PartI (c) FMV(orestimate) (b) Descriptionofnoncashpropertygiven (d) Datereceived (a) No. from PartI (c) FMV(orestimate) (b) Descriptionofnoncashpropertygiven (d) Datereceived (a) from PartI (c) FMV(orestimate) (b) Descriptionofnoncashpropertygiven (d) Datereceived (a) No. from PartI (c) FMV(orestimate) (b) Descriptionofnoncashpropertygiven (d) Datereceived (a) No. from PartI (c) FMV(orestimate) (b) Descriptionofnoncashpropertygiven (d) Datereceived (a) from PartI (c) FMV(orestimate) (b) Descriptionofnoncashpropertygiven (d) Datereceived ScheduleB(Form990)(2022)Page Nameoforganization (seeinstructions).UseduplicatecopiesofPart (Seeinstructions.) $ (Seeinstructions.) $ (Seeinstructions.) $ (Seeinstructions.) $ (Seeinstructions.) $ (Seeinstructions.) $ 3 PartIINoncashProperty 1 08/31/23 2 08/31/23 FASHIONLUNCHEONRAFFLETICKETS 4 08/31/23 THEMEPARKTICKETS,LODGING,MEALS,TRANSPORTATION MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
Transferee'sname,address,andZIP+4Relationshipoftransferor
Transferee'sname,address,andZIP+4Relationshipoftransferor
Transferee'sname,address,andZIP+4Relationshipoftransferor
Transferee'sname,address,andZIP+4Relationshipoftransferor
completingPartIII,enterthetotalofexclusivelyreligious, charitable,etc.,contributionsoffortheyear.(Enterthisinfo.once.) 22345411-15-22 Exclusivelyreligious, (a) Employeridentification (a)No. from PartI (b)Purposeofgift(c)Useofgift(d)Descriptionofhow (e)Transferofgift
(a)No. from PartI (b)Purposeofgift(c)Useofgift(d)Descriptionofhow (e)Transferofgift
(a)No. from PartI (b)Purposeofgift(c)Useofgift(d)Descriptionofhow (e)Transferofgift
(a)No. from PartI (b)Purposeofgift(c)Useofgift(d)Descriptionofhow (e)Transferofgift
ScheduleB(Form990)(2022)Page Nameoforganization $ UseduplicatecopiesofPartIIIifadditionalspaceisneeded. 4 PartIII MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
DepartmentoftheTreasury 23205109-01-22 OMBNo.1545-0047 HeldattheEnd Completeiftheorganizationanswered"Yes"onForm PartIV,line6,7,8,9,10,11a,11b,11c,11d,11e,11f, AttachtoForm990. Gotowww.irs.gov/Form990forinstructionsand (Form990) OpentoPublic Inspection NameoftheorganizationEmployeridentification (a)(b) 1 2 3 4 5 6 Yes Yes 1 2 3 4 5 6 7 8 9 a b c d Yes Yes 1 2 a b (i) (ii) a b ForPaperworkReductionActNotice,seetheInstructionsforForm990.ScheduleD Completeifthe organizationanswered"Yes"onForm990,PartIV,line6. DonoradvisedfundsFundsandotheraccounts Totalnumberatendofyear Aggregatevalueofcontributionsto(duringyear) Aggregatevalueofgrantsfrom(duringyear) Aggregatevalueatendofyear Didtheorganizationinformalldonorsanddonor aretheorganization'sproperty,subjecttotheorganization'sexclusivelegal Didtheorganizationinformallgrantees,donors, forcharitablepurposesandnotforthebenefit impermissibleprivatebenefit? Completeiftheorganizationanswered"Yes" Purpose(s)ofconservationeasementsheldbytheorganization(checkall Preservationoflandforpublicuse(forexample,recreationoreducation) Protectionofnaturalhabitat Preservationofopenspace Preservationofahistorically Preservationofacertifiedhistoric Completelines2a dayofthetaxyear. Totalnumberofconservationeasements Totalacreagerestrictedbyconservationeasements Numberofconservationeasementsonacertifiedhistoricstructureincluded Numberofconservationeasementsincludedin(c)acquiredafter historicstructurelistedintheNationalRegister Numberofconservationeasements year Numberofstateswherepropertysubjecttoconservationeasementislocated Doestheorganizationhaveawrittenpolicyregardingthe violations,andenforcementoftheconservationeasementsitholds? Staffandvolunteer Amountofexpensesincurred Doeseachconservationeasementreportedon andsection170(h)(4)(B)(ii)? InPartXIII,describehowtheorganization balancesheet,andinclude,ifapplicable, organization'saccountingforconservationeasements. Completeiftheorganizationanswered"Yes"onForm990,PartIV,line8. Iftheorganizationelected,aspermitted ofart,historicaltreasures,orothersimilar service,provideinPartXIIIthetextofthefootnoteto Iftheorganizationelected,aspermitted art,historicaltreasures,orother providethefollowingamountsrelatingtotheseitems: RevenueincludedonForm990,PartVIII,line1 AssetsincludedinForm990,PartX $ $ Iftheorganizationreceivedorheldworks thefollowingamountsrequiredtobereportedunderFASBASC958 RevenueincludedonForm990,PartVIII,line1 AssetsincludedinForm990,PartX $ $ LHA PartIOrganizationsMaintainingDonor PartIIConservationEasements. PartIIIOrganizationsMaintaining SupplementalFinancialStatements 2022 MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
23205209-01-22 3 4 5 a b c d e Yes 1 2 a b c d e f a b Yes Yes 1 2 3 4 a b c d e f g a b c a b Yes (i) (ii) 3a(i) 3a(ii) (a)(b)(c)(d) 1a b c d e Total. ScheduleD (continued) TwoyearsbackThreeyearsbackFouryearsback ScheduleD(Form990)2022Page Usingtheorganization'sacquisition, collectionitems(checkallthatapply): Publicexhibition Scholarlyresearch Preservationforfuturegenerations Loanorexchangeprogram Other Provideadescriptionofthe Duringtheyear,didtheorganizationsolicitor tobesoldtoraisefundsratherthantobemaintainedaspartofthe Completeiftheorganization reportedanamountonForm990,PartX,line21. Istheorganizationanagent,trustee,custodian onForm990,PartX? If"Yes,"explainthearrangementinPartXIIIandcompletethefollowingtable: Amount Beginningbalance Additionsduringtheyear Distributionsduringtheyear Endingbalance DidtheorganizationincludeanamountonForm If"Yes,"explainthearrangementinPartXIII.Check Completeiftheorganizationanswered"Yes"on CurrentyearPrioryear Beginningofyearbalance Contributions Netinvestmentearnings,gains,andlosses Grantsorscholarships Otherexpendituresforfacilities andprograms Administrativeexpenses Endofyearbalance Providetheestimatedpercentageofthecurrentyearendbalance Boarddesignatedorquasi-endowment Permanentendowment Termendowment Thepercentagesonlines2a,2b,and2cshouldequal100%. % % % Arethereendowmentfundsnotinthepossession organizationby: Unrelatedorganizations Relatedorganizations If"Yes"online3a(ii),aretherelatedorganizationslistedasrequiredonSchedule DescribeinPartXIIItheintendedusesoftheorganization'sendowmentfunds. Completeiftheorganizationanswered"Yes" DescriptionofpropertyCostorother basis(investment) Costorother basis(other) Accumulated depreciation Bookvalue Land Buildings Leaseholdimprovements Equipment Other Addlines1athrough1e. 2 PartIIIOrganizationsMaintaining PartIVEscrowandCustodialArrangements. PartVEndowmentFunds. PartVILand,Buildings,andEquipment. NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
23205309-01-22 Total. Total. (a)(b)(c) (1) (2) (3) (a)(b)(c) (1) (2) (3) (4) (5) (6) (7) (8) (9) (a)(b) (1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (a)(b) Total. ScheduleD Descriptionofsecurityorcategory (Col.(b)mustequalForm990,PartX,col.(B)line12.) (Col.(b)mustequalForm990,PartX,col.(B)line13.) ScheduleD(Form990)2022Page Completeiftheorganizationanswered"Yes" BookvalueMethodofvaluation: Financialderivatives Closelyheldequityinterests Other (A) (B) (C) (D) (E) (F) (G) (H) Completeiftheorganizationanswered"Yes" DescriptionofinvestmentBookvalueMethodofvaluation: Completeiftheorganizationanswered"Yes" Description Bookvalue Completeiftheorganizationanswered DescriptionofliabilityBookvalue (1) (2) (3) (4) (5) (6) (7) (8) (9) Federalincometaxes Liabilityforuncertaintax organization'sliability 3 PartVIIInvestments-OtherSecurities. PartVIIIInvestments-ProgramRelated. PartIXOtherAssets. PartXOtherLiabilities. NEVADA,INC. DUETONATIONAL DUETOOTHERCHAPTERS LEASELIABILITY-OPERATING LEASELIABILITY-OPERATING MAKE-A-WISHFOUNDATIONOFSOUTHERN X DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
23205409-01-22 1 2 3 4 5 1 a b c d e 2a 3 2e 1 a b c 4a 4c. 5 1 2 3 4 5 1 a b c d e 2a 2e 13 a b c 4a 4c. 5 ScheduleD ScheduleD(Form990)2022Page Completeiftheorganizationanswered"Yes"onForm990,PartIV,line12a. Totalrevenue,gains,andothersupportperauditedfinancialstatements Amountsincludedonline1butnotonForm990,PartVIII,line12: Netunrealizedgains(losses)oninvestments Donatedservicesanduseoffacilities Recoveriesofprioryeargrants Other(DescribeinPartXIII.) Addlinesthrough Subtractlinefromline AmountsincludedonForm990,PartVIII,line12,butnotonline1: InvestmentexpensesnotincludedonForm990,PartVIII,line7b Other(DescribeinPartXIII.) Addlinesand Totalrevenue.Addlines and Completeiftheorganizationanswered"Yes"onForm990,PartIV,line12a. Totalexpensesandlossesperauditedfinancialstatements Amountsincludedonline1butnotonForm990,PartIX,line25: Donatedservicesanduseoffacilities Prioryearadjustments Otherlosses Other(DescribeinPartXIII.) Addlinesthrough Subtractlinefromline AmountsincludedonForm990,PartIX,line25,butnotonline1: InvestmentexpensesnotincludedonForm990,PartVIII,line7b Other(DescribeinPartXIII.) Addlinesand Totalexpenses.Addlines and Providethedescriptions lines2dand4b;andPartXII,lines2dand4b.Alsocomplete 4 PartXIReconciliationofRevenue PartXIIReconciliationofExpenses PartXIIISupplementalInformation. NEVADATAXESUNDERTHEPROVISIONSOFINTERNALREVENUE 501(C)(3)ANDTHENEVADAREVISEDSTATUTES.HOWEVER, BUSINESS,REGULARLYCARRIEDONANDNOTINFURTHERANCE WHICHITWASGRANTEDEXEMPTION.NOINCOMETAXPROVISION -24,219. NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN OPINIONOFMANAGEMENT,ISNOTMATERIALTOTHEFINANCIAL ASAWHOLE. DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
PARTXII,LINE2D-OTHERADJUSTMENTS:
SPECIALEVENTEXPENSESMOVEDFROMTHEFUNCTIONAL
23205509-01-22 5 ScheduleD (continued) ScheduleD(Form990)2022Page PartXIIISupplementalInformation
STATEMENTOFREVENUE
PARTXI,LINE4B-OTHERADJUSTMENTS: SPECIALEVENTEXPENSESMOVEDFROMTHEFUNCTIONAL
NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
InternalRevenueService Did fundraiser havecustody orcontrolof contributions? 23208110-27-22 Goto OMBNo.1545-0047 Completeiftheorganizationanswered organizationenteredmorethan$15,000onForm OpentoPublic Inspection AttachtoForm990orForm990-EZ. www.irs.gov/Form990forinstructionsandthelatest Employeridentification 1 a b c d a b e f g 2 Yes (i) (ii) (iii) (iv) (v) (i) (vi) Yes Total 3 ForPaperworkReductionActNotice,seetheInstructionsforForm ScheduleG Nameoftheorganization Completeiftheorganization requiredtocompletethispart. Indicatewhethertheorganizationraisedfundsthrough Mailsolicitations Internetandemailsolicitations Phonesolicitations In-personsolicitations Solicitationofnon-governmentgrants Solicitationofgovernmentgrants Specialfundraisingevents Didtheorganizationhaveawrittenororalagreement keyemployeeslistedinForm990,PartVII)orentityin If"Yes,"listthe10highestpaid compensatedatleast$5,000bytheorganization. Nameandaddressofindividual orentity(fundraiser) ActivityGrossreceipts fromactivity Amountpaid to(orretainedby) fundraiser listedincol. Amountpaid to(orretained organization Listallstatesinwhich orlicensing. LHA SCHEDULESupplementalInformationRegarding G (Form990) PartIFundraisingActivities. 2022 MAKE-A-WISHFOUNDATIONOFSOUTHERN X X X FREEWILLCO.-300W.57TH MICHELLEWILLIAMS-701 X X NEVADA,INC. DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
23208210-27-22 2 (d) (a) (c) (a)(b)(c) 1 2 3 4 5 6 7 8 9 (a) (b) (c) (d) (c) 1 2 3 4 5 6 7 8 YesYesYes 9 a b Yes a b Yes ScheduleG Pulltabs/instant bingo/progressivebingo ScheduleG(Form990)2022Page Completeiftheorganization offundraising Totalevents (addcol. through Revenuecol.) Event#1Event#2Otherevents (eventtype)(eventtype)(totalnumber) Grossreceipts Less:Contributions Grossincome(line1minusline2) Direct ExpensesCashprizes Noncashprizes Rent/facilitycosts Foodandbeverages Entertainment Otherdirectexpenses Directexpensesummary.Addlines4through9incolumn(d) Netincomesummary.Subtractline10fromline3,column(d) Completeiftheorganizationanswered"Yes" Revenue$15,000onForm990-EZ,line6a. Bingo Othergaming Totalgaming col.throughcol. ) Direct ExpensesGrossrevenue Cashprizes Noncashprizes Rent/facilitycosts Otherdirectexpenses %%% Volunteerlabor Directexpensesummary.Addlines2through5incolumn(d) Netgamingincomesummary.Subtractline7fromline1,column(d) Enterthestate(s)inwhichtheorganizationconductsgamingactivities: Istheorganizationlicensedtoconductgamingactivitiesineachofthesestates? If"No,"explain: Wereanyoftheorganization'sgaminglicensesrevoked, If"Yes,"explain: PartIIFundraisingEvents. PartIII Gaming. -24,219. 3 X X X NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
23208310-27-22 3 Yes Yes a b 13a 13b aYes b c a b Yes ScheduleG ScheduleG(Form990)2022Page Doestheorganizationconductgamingactivitieswithnonmembers? Istheorganizationagrantor,beneficiaryortrustee toadministercharitablegaming? Indicatethepercentageofgamingactivityconductedin: Theorganization'sfacility Anoutsidefacility % % Enterthenameandaddressoftheperson Name Address Doestheorganizationhaveacontractwithathird If"Yes,"entertheamountofgamingrevenuereceivedbytheorganization $andtheamount ofgamingrevenueretainedbythethirdparty $ If"Yes,"enternameandaddressofthethirdparty: Name Address Gamingmanagerinformation: Name Gamingmanagercompensation Descriptionofservicesprovided $ Director/officerEmployee Independentcontractor Mandatorydistributions: Istheorganizationrequiredunderstatelawtomakecharitable retainthestategaminglicense? Entertheamountofdistributionsrequired organization'sownexemptactivitiesduringthetaxyear $ Providetheexplanations 15b,15c,16,and17b,asapplicable.Alsoprovideany PartIVSupplementalInformation. 9950COVINGTONCROSSDR.-LASVEGAS,NV89144 X X X OVERSEERAFFLEADMINISTRATION NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN (I)NAMEOFFUNDRAISER:MICHELLEWILLIAMS (I)NAMEOFFUNDRAISER:FREEWILLCO. (I)ADDRESSOFFUNDRAISER:300W.57THST.,40TH X X DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
23208404-01-22 4 ScheduleG (continued) ScheduleG(Form990)Page PartIVSupplementalInformation NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
OMBNo.1545-0047 DepartmentoftheTreasury InternalRevenueService 23210110-31-22 SCHEDULEI (Form990) Completeiftheorganizationanswered"Yes"onForm990,PartIV, AttachtoForm990. Gotowww.irs.gov/Form990forthelatestinformation. OpentoPublic Inspection Employeridentification PartIGeneralInformationonGrantsandAssistance 1 2 Yes PartIIGrantsandOtherAssistancetoDomesticOrganizationsandDomesticGovernments. (f) 1(a)(b)(c)(d)(e)(h) 2 3 ForPaperworkReductionActNotice,seetheInstructionsforForm990.ScheduleI Nameoftheorganization Doestheorganizationmaintainrecordsto criteriausedtoawardthegrantsorassistance? DescribeinPartIVtheorganization'sproceduresformonitoringtheuseofgrantfundsintheUnited Completeiftheorganization recipientthatreceivedmorethan$5,000.PartIIcanbeduplicatedifadditionalspaceisneeded. Methodof valuation(book, FMV,appraisal, other) Nameandaddressoforganization orgovernment EIN IRCsection (ifapplicable) Amountof cashgrant Amountof noncash assistance Descriptionof noncashassistance Purposeofgrant orassistance Entertotalnumberofsection501(c)(3)andgovernmentorganizationslistedintheline1table Entertotalnumberofotherorganizationslistedintheline1table LHA 2022 MAKE-A-WISHFOUNDATIONOFSOUTHERN NEVADA,INC. X DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
23210210-31-22 2 PartGrantsandOtherAssistancetoDomesticIndividuals. III (a)(e) (b)(c)(d)(f) PartIVSupplementalInformation. ScheduleI ScheduleI(Form990)2022Page Completeiftheorganizationanswered"Yes"onForm990,PartIV,line PartIIIcanbeduplicatedifadditionalspaceisneeded. Methodofvaluation (book,FMV,appraisal,other) TypeofgrantorassistanceNumberof recipients Amountof cashgrant Amountofnoncashassistance Descriptionof ProvidetheinformationrequiredinPartI,line2;PartIII,column(b); WISHESGRANTED 174 PARTI,LINE2: FOREACHCHILDWHOMEETELIGIBILITYCRITERIA,AFILEISESTABLISHEDIN ACCORDANCEWITHMAKE-A-WISHFOUNDATIONPROCEDURES.THECHILDIS INTERVIEWEDBYTHEWISHGRANTINGSTAFFTOUNDERSTANDTHECHILD'SWISH REQUEST.AWISHBUDGETISCREATEDBYWISHSTAFFANDAPPROVEDBYWISH MANAGEMENT.WISHEXPENSESAREGENERATEDBYWISHFULFILLMENTSTAFFAND REVIEWEDANDAPPROVEDBYWISHMANAGEMENTTOENSURETHATCOSTSALIGNWITH THEWISHBUDGET.ONCETHEWISHHASBEENGRANTEDANDALLEXPENSESPAID,THE WISHFILEISCLOSED. FMV MAKE-A-WISHFOUNDATIONOFSOUTHERN NEVADA,INC. TRAVEL,M&EANDSUPPLIES DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
Participateinorreceivepaymentfromanequity-basedcompensationarrangement?
If"Yes"toanyoflines4a-c,listthepersonsandprovide
ForpersonslistedonForm990,PartVII,Section
contingentontherevenuesof:
Theorganization?
Anyrelatedorganization?
If"Yes"online5aor5b,describeinPartIII.
ForpersonslistedonForm990,PartVII,Section contingentonthenetearningsof:
Theorganization?
Anyrelatedorganization?
If"Yes"online6aor6b,describeinPartIII.
ForpersonslistedonForm990,PartVII,Section notdescribedonlines5and6?If"Yes,"describeinPartIII
WereanyamountsreportedonForm990,Part initialcontractexceptiondescribedinRegulationssection If"Yes"online8,didtheorganizationalsofollowtherebuttable Regulationssection53.4958-6(c)?
OMBNo.1545-0047 DepartmentoftheTreasury InternalRevenueService 23211110-18-22 ForcertainOfficers,Directors,Trustees,KeyEmployees, CompensatedEmployees Completeiftheorganizationanswered"Yes" OpentoPublic Inspection AttachtoForm990. Gotowww.irs.gov/Form990forinstructionsand Employeridentification Yes 1a b 2 2 3 4 a b c Onlysection501(c)(3),501(c)(4),and501(c)(29)organizationsmust 5 7 8 9 a b 6 a b 7 8 9 ForPaperworkReductionActNotice,seetheInstructionsforForm990.ScheduleJ Nameoftheorganization Checktheappropriatebox(es)iftheorganization PartVII,SectionA,line1a.CompletePartIIItoprovide First-classorchartertravel Travelforcompanions Housingallowanceorresidenceforpersonal Paymentsforbusinessuseofpersonal Taxindemnificationandgross-uppayments Discretionaryspendingaccount Healthorsocialclubduesorinitiationfees Personalservices(suchasmaid,chauffeur, Ifanyoftheboxesonline1aarechecked,didtheorganization reimbursementorprovisionofalloftheexpensesdescribed Didtheorganizationrequiresubstantiationpriorto trustees,andofficers,includingtheCEO/ExecutiveDirector, Indicatewhich,ifany,ofthefollowingtheorganization CEO/ExecutiveDirector.Checkallthatapply. establishcompensationoftheCEO/ExecutiveDirector,butexplaininPartIII. Compensationcommittee Independentcompensationconsultant Form990ofotherorganizations Writtenemploymentcontract Compensationsurveyorstudy Approvalbytheboardorcompensation Duringtheyear,didanypersonlistedonForm990,Part
organizationorarelatedorganization: Receiveaseverancepaymentorchange-of-controlpayment? Participateinorreceivepaymentfromasupplementalnonqualifiedretirement
LHA SCHEDULEJ (Form990) PartIQuestionsRegardingCompensation CompensationInformation 2022 MAKE-A-WISHFOUNDATIONOFSOUTHERN X X X X X X X X X X X X X NEVADA,INC. DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
23211210-18-22 2 PartIIOfficers,Directors,Trustees,KeyEmployees,andHighestCompensatedEmployees. Note: (B)(C)(D)(E)(F) (A)(i)(ii)(iii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) Schedule ScheduleJ(Form990)2022Page Useduplicatecopiesifadditionalspaceisneeded. Foreachindividual Donotlistanyindividualsthataren'tlistedonForm990,PartVII. Thesumofcolumns(B)(i)-(iii) BreakdownofW-2and/or1099-MISCand/or1099-NEC compensation Retirementand otherdeferred compensation Nontaxable benefits Totalofcolumns Compensation incolumn(B) reportedas onpriorForm NameandTitle Base compensation Bonus& incentive compensation Other reportable compensation MAKE-A-WISHFOUNDATIONOFSOUTHERN NEVADA,INC. 531. PRESIDENT&CEO CHIEFOPERATINGOFFICER (1)SCOTTROSENZWEIG (2)BARBARATAPP DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
INCALENDARYEAR2022,THECEOEARNEDBOTHA2NDHALFOFFY21
ORGANIZATIONALBONUSPAYOUTEARNEDDURINGHISINTERIMCEOANDPRIORJOB FY22,THEEXECUTIVECOMMITTEEREVIEWEDHISPERFORMANCEALONGWITHCHAPTER SIGNED10/11/2021.INJULY2023,THEEXECUTIVECOMMITTEEALSOVOTEDTOMOVE
TITLES(HESTARTEDASCEOINOCTOBER2021,STARTOFFY22).ATTHEENDOF BENCHMARKSANDAWARDEDTHEFULL20%BONUSAPPLICABLEPERTHECEOCONTRACT
THECOOTOCONTRACT(EFFECTIVE9/11/2023-FORFY24).
23211310-18-22 3 PartIIISupplementalInformation Schedule ScheduleJ(Form990)2022Page Providetheinformation,
PARTI,LINE7:
MAKE-A-WISHFOUNDATIONOFSOUTHERN NEVADA,INC. DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
OMBNo.1545-0047 DepartmentoftheTreasury InternalRevenueService 23214109-09-22 OpentoPublic Inspection Completeiftheorganizationsanswered"Yes" AttachtoForm990. Gotowww.irs.gov/Form990forinstructionsand Employeridentification (a)(b)(c)(d) 1 2 3 4 5 6 7 8 9 Yes a b 30a 32a a b ForPaperworkReductionActNotice,seetheInstructionsforForm990. ScheduleM Nameoftheorganization Checkif applicable Numberof contributionsor itemscontributed Noncashcontribution amountsreportedon Form990,PartVIII,line1g Methodofdetermining noncashcontribution Art-Worksofart Art-Historicaltreasures Art-Fractionalinterests Booksandpublications Clothingandhouseholdgoods Carsandothervehicles Boatsandplanes Intellectualproperty Securities-Publiclytraded Securities-Closelyheldstock Securities-Partnership,LLC,or trustinterests Securities-Miscellaneous QualifiedconservationcontributionHistoricstructures Qualifiedconservationcontribution-Other Realestate-Residential Realestate-Commercial Realestate-Other Collectibles Foodinventory Drugsandmedicalsupplies Taxidermy Historicalartifacts Scientificspecimens Archeologicalartifacts Other() Other() Other() Other() NumberofForms8283receivedbytheorganizationduringthetaxyear forwhichtheorganizationcompletedForm8283,PartV,DoneeAcknowledgement Duringtheyear,didtheorganizationreceive mustholdforatleast3yearsfromthedateofthe exemptpurposesfortheentireholdingperiod? If"Yes,"describethearrangementinPartII. Doestheorganizationhaveagiftacceptancepolicy Doestheorganizationhireorusethirdpartiesorrelated contributions? If"Yes,"describeinPartII. Iftheorganizationdidn'treportanamountincolumn describeinPartII. LHA SCHEDULEM (Form990) PartITypesofProperty NoncashContributions 2022 MAKE-A-WISHFOUNDATIONOFSOUTHERN OTHER 173FMV FMV X X X 1 X X X 0 NEVADA,INC. FMV DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
23214209-09-22 2 ScheduleM ScheduleM(Form990)2022Page Providetheinformation isreportinginPart thispartforanyadditionalinformation. PartIISupplementalInformation. COLUMN(B)REPRESENTSTHENUMBEROFCONTRIBUTIONSRECEIVED. MAKE-A-WISHFOUNDATIONOFSOUTHERN NEVADA,INC. DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
OMBNo.1545-0047 DepartmentoftheTreasury 23221110-28-22 Completetoprovideinformationforresponses Form990or990-EZortoprovideanyadditionalinformation. AttachtoForm990orForm990-EZ. Gotowww.irs.gov/Form990forthelatestinformation. OpentoPublic Inspection Employeridentification ForPaperworkReductionActNotice,seetheInstructionsforForm ScheduleO Nameoftheorganization LHA (Form990) SCHEDULEO SupplementalInformation 2022 FORM990,PARTIII,LINE4A,DESCRIPTIONOFPROGRAMSERVICE: ITISTHEFOUNDINGPRINCIPLEOFOURVISIONTOGRANT THEACTOFMAKINGTHEIRWISHCOMETRUECANGIVETHEMTHE COMPLYWITHTHEIRMEDICALTREATMENTS.WITHOURWISH DIFFICULTTIMESANDDELIVERAJOYFULLIFECHANGINGEXPERIENCE THEWISHISAPRINCESSPARTY,SWIMWITHTHEDOLPHINS, MAKE-A-WISHFOUNDATIONOFSOUTHERNNEVADAGRANTED174 WISHESINTHEFISCALYEARENDINGAUGUST31,2023.THE WISHESGRANTEDFORTHEFISCALYEARWAS$3,758,467.OFTHIS $571,811WASCONTRIBUTEDBYVARIOUSVENDORSWHOPROVIDED
LODGING,ANDOTHERSERVICESANDUSEOFFACILITIES CONTRIBUTIONREVENUEANDGRANTEDWISHEXPENSE.FORFORM
OFTHEBOARDOFDIRECTORSINTHEMANAGEMENTOFTHE MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
CONTRIBUTIONSSUCHASTRAVELANDTRAVELSERVICES,TRANSPORTATION,
THEIRSREQUIRESTHISAMOUNTBEEXCLUDEDFROMBOTH THEBOARDOFDIRECTORS,BYRESOLUTIONADOPTEDBY STANDINGAND/ORSPECIALCOMMITTEES)SHALLHAVEAND
INCREASINGORDECREASINGTHEBOARDMEMBERSORANY
OFDIRECTORS;OR(II)ADOPTING,AMENDINGORREPEALING
ACTIVITIESOFTHESTANDINGANDSPECIALCOMMITTEES.
THEFOUNDATIONWORKEDCLOSELYWITHANINDEPENDENT
ENGAGEDTOPREPARETHEFORM990.THEDRAFTFORM990PREPARED
ACCOUNTINGFIRMWASREVIEWEDBYTHEFOUNDATION'S
TREASURER.ACOPYOFTHECOMPLETEFORM990WASPROVIDED
MEMBERSOFTHEBOARDOFDIRECTORSFORAPPROVALPRIOR
EMPLOYEE,BOARDMEMBER,ANDVOLUNTEER.SUCHSTATEMENTS
DATEOFHIRE,ELECTION,ORCOMMENCEMENTOFVOLUNTEER
REVIEWEDBYTHEVOLUNTEERCOORDINATORIFTHEYARE
PRESIDENT&CEOIFFROMSTAFFANDBOARDMEMBERS.
23221210-28-22 2 Employeridentification ScheduleO ScheduleO(Form990)2022Page Nameoftheorganization
FILEINTHECHAPTEROFFICE.
FORM990,PARTVI,SECTIONB,LINE12C: PROVIDEDBYTHEMAKE-AWISHFOUNDATIONOFAMERICAFOR
NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
23221210-28-22 2 Employeridentification ScheduleO ScheduleO(Form990)2022Page Nameoftheorganization CONFLICTVIAVERBALORWRITTENCOMMUNICATIONWITH (2)FULLYDISCLOSINGCONFLICTINGINTERESTSTO CONFLICTASRECOMMENDEDBYTHEBOARDUPTOANDINCLUDING FORM990,PARTVI,SECTIONB,LINE15: THECHAPTERENSURESTHATCOMPENSATIONOFTHEPRESIDENT CHAPTER'SEXECUTIVECOMMITTEEWITHOUTINVOLVEMENT
AMERICAANDMAYRELYONOTHERCOMPETENTTHIRDPARTY PAIDBYNON-PROFITS.THEBASISFORTHEDECISION FORM990,PARTVI,SECTIONC,LINE19: INTERESTANDGOVERNINGDOCUMENTSAVAILABLEFORREVIEW NEVADA,INC. MAKE-A-WISHFOUNDATIONOFSOUTHERN DocuSign Envelope ID: 38296E24-EF36-4545-A0E3-BD78F05D3899
CONFLICTOFINTEREST.THEEXECUTIVECOMMITTEEOBTAINS APPROPRIATECOMPARABILITYDATAPROVIDEDBYTHEMAKE-A-WISH
